Doctor Name: | AMY FOX |
NPI Number: | 1013392562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN,IBCLC |
License Number: | 041.244876 |
Business Practice Address: | 40389 N Fox Run Ln Antioch, IL - 600027507 |
Business Phone Number: | 8479869193 |
Business Fax Number: | |
Mailing Address: | 40389 N Fox Run Ln, ANTIOCH |
State: | IL |
Postal Code: | 600027507 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 041.244876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |