Organization Active NPI

Fox Valley Dermatology, LTD.

  • Medical Specialty Clinic/Center
  • Aurora, IL
National Provider Identifier
1902989106
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FOX VALLEY DERMATOLOGY, LTD.
Practice address
2972 Indian Trail Rd
Aurora, IL 60502-9408
Phone
(630) 236-4257
Fax
(630) 236-4241
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Ann Remlinger, M.D.
Title
President
Phone
(630) 236-4257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

2972 Indian Trail Rd
Aurora, IL 60502-9408

Mailing address

6476 New Albany Rd
Lisle, IL 60532-3237
Phone (630) 536-8552

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1902989106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6476 NEW ALBANY RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323237",
            "telephone_number": "630-536-8552",
            "fax_number": "630-536-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 INDIAN TRAIL RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029408",
            "telephone_number": "630-236-4257",
            "fax_number": "630-236-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY DERMATOLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "REMLINGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-236-4257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.