Doctor Name: | DR. STEVEN CRAIG FOX |
NPI Number: | 1649612961 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036.064714 |
Business Practice Address: | 125 North Halsted Street Suite 303 Chicago, IL - 606612156 |
Business Phone Number: | 3122580575 |
Business Fax Number: | 3126481569 |
Mailing Address: | 125 North Halsted Street, Suite 303 CHICAGO |
State: | IL |
Postal Code: | 606612156 |
Phone Number: | 3122580575 |
Fax Number: | 3126481569 |
NPI Enumeration Date: | 07/29/2013 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036.064714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |