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14D2150578 CLIA NUMBER - FOX RIDGE MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 14D2150578

Facility Name: FOX RIDGE MEDICAL ASSOCIATES

Facility Address:
3633 MUNICIPAL DR
MCHENRY, IL
ZIP 60050
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Facility Phone Number: 815 861-5543

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1013402825

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D2150578
LAB Type Physician Office
Facility Name FOX RIDGE MEDICAL ASSOCIATES
Street 3633 MUNICIPAL DR
City MCHENRY
State IL
ZIP 60050
Phone 815 861-5543
CertificateType 4
CertificateEffectiveDate 6/27/2022
CertificateExpirationDate 6/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024