Fox River Pediatrics Sc

NPI #1710110473 in Plano, Illinois

Provider Information

NPI Number: 1710110473
Entity Type: Organization
Organization Name: Fox River Pediatrics Sc
Primary Specialty: Pediatrics
Enumeration Date: Aug 28, 2009
Last Updated: Sep 5, 2011

Practice Location

Address: 11000 US HIGHWAY 34
Address 2: SUITE 3
City: Plano
State: Illinois
ZIP Code: 60545-9824
Phone: (630) 552-9852

Authorized Official

Name: AYEZAH MIR, MD
Title: OWNER
Phone: (630) 926-4471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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