FOX RIVER PEDIATRICS SC NPI 1710110473

NPI Information

  • NPI: 1710110473
  • Provider Name: FOX RIVER PEDIATRICS SC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 11000 US HIGHWAY 34
    SUITE 3
    PLANO, IL
    ZIP 60545
  • Phone: (630) 552-9852

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NPI Details

FOX RIVER PEDIATRICS SC is a pediatrics in Plano, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FOX RIVER PEDIATRICS SC NPI is 1710110473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11000 US HIGHWAY 34
SUITE 3
PLANO, IL
ZIP 60545-824
Phone: (630) 552-9852
Fax: (630) 552-9857

The provider's authorized official is Ayezah Mir .
The authorized official title is Owner and has the following contact phone number (630) 926-4471.

The enumeration date for this NPI number is 8/28/2009 and was last updated on 9/5/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036-112854ILLINOISYes

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: 11/21/2025

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