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General NPI Number Information
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NPI Number | 1336389204
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Entity Type | Organization
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Legal Business Name | FOX VALLEY FOOT SPECIALISTS,LTD
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1279 S NAPER BLVD
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City | NAPERVILLE
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State | IL
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Zip | 60540-8300
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Country | US
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Telephone | 630-548-3900
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Fax | 630-548-3905
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Provider Business Mailing Address
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Address Line | 1279 S NAPER BLVD
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City | NAPERVILLE
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State | IL
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Zip | 60540-8300
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Country | US
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Telephone | 630-548-3900
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Fax | 630-548-3905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENDON J. MCCARTHY
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Credential | D.P.M.
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Telephone | 630-548-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 060-007904
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 060-007904
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License Number State | IL
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