| Doctor Name: | DR. BRUCE E. NOXON |
| NPI Number: | 1043263171 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 016004911 |
| Business Practice Address: | 2050 Pfingsten Rd Suite #190 Glenview, IL - 600261324 |
| Business Phone Number: | 8477244644 |
| Business Fax Number: | 8477244688 |
| Mailing Address: | 2050 Pfingsten Rd, Suite #190 GLENVIEW |
| State: | IL |
| Postal Code: | 600261324 |
| Phone Number: | 8477244644 |
| Fax Number: | 8477244688 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0000X |
| License Number: | 016004911 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | |