OrganizationActive
Fox River Pediatrics Sc
NPI 1710110473 · Pediatrics Physician · Plano, IL
Provider details
- NPI number
- 1710110473
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ayezah Mir, Owner(630) 926-4471
- License
- 036-112854 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11000 US Highway 34
Suite 3
Plano, IL 60545-9824
Phone: (630) 552-9852
Fax: (630) 552-9857
Street-level locationGet directions
Mailing address
11000 US Highway 34
Plano, IL 60545-9824
Registry dates
- Enumerated
- 2009-08-28
- Last updated
- 2011-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.