Healthcare Provider Details

I. General information

NPI: 1407760895
Provider Name (Legal Business Name): FOX VALLEY BH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E DIEHL RD STE 110
NAPERVILLE IL
60563-9386
US

IV. Provider business mailing address

850 E DIEHL RD STE 110
NAPERVILLE IL
60563-9386
US

V. Phone/Fax

Practice location:
  • Phone: 617-733-4233
  • Fax: 781-394-2662
Mailing address:
  • Phone: 617-733-4233
  • Fax: 781-394-2662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMUEL DAVID STEELE
Title or Position: DIRECTOR
Credential:
Phone: 781-366-3953