Fox, Tara S.

Fox, Tara S. is an individual health care provider with primary practice located at 9401 Meadow Ln , Des Plaines IL 60016-3719. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Fox, Tara S. can be contacted via phone (847) 298-0819.

Contact Information

Primary practice address
9401 Meadow Ln Des Plaines IL 60016-3719
Phone: (847) 298-0819
Fax: (847) 504-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1891739397
LBN Legal business name Fox, Tara S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891739397 NPPES
Wisconsin MEDICAID 43243300

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