Michael Robert Fox
Anesthesiology in Maywood, IL. Individual provider (NPI-1).
NPI number1982133468
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1982133468
- Entity type
- Individual (NPI-1)
- Name
- Michael Robert Fox
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2017
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036151582 | IL | Yes |
| 207L00000X | Anesthesiology | 125071644 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153
Phone 406-350-2539
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 406-350-2539
Other practice locations
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All 151 Anesthesiology Physician providers in Maywood · All 2,653 providers in Maywood
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