Fox, Charles Samuel

Fox, Charles Samuel is an sole proprietor health care provider with primary practice located at 474 Highcrest Dr , Wilmette IL 60091-2358. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Fox, Charles Samuel can be contacted via phone (312) 856-0170.

Contact Information

Primary practice address
474 Highcrest Dr Wilmette IL 60091-2358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1952366387
LBN Legal business name Fox, Charles Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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