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FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC NPI 1174637334


NPI Information

NPI: 1174637334
Provider Name: FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
640 N RIVER RD
SUITE 108
NAPERVILLE, IL
ZIP 60563
Phone: (630) 718-0717
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FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC is a counselor in Naperville, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC NPI is 1174637334. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

640 N RIVER RD
SUITE 108
NAPERVILLE, IL
ZIP 60563-949
Phone: (630) 718-0717
Fax: (630) 718-0747

The provider's authorized official is Laura Lynn Bokar .
The authorized official title is Owner and has the following contact phone number (630) 718-0717.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor00000000ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10002225381OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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