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General NPI Number Information
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NPI Number | 1104943786
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Entity Type | Organization
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Legal Business Name | FOX RIVER FOOT & ANKLE CENTER PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 3963 US HIGHWAY 34
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City | OSWEGO
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State | IL
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Zip | 60543-8950
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Country | US
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Telephone | 630-551-3338
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Fax | 949-862-3678
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Provider Business Mailing Address
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Address Line | 810 E DIVISION ST
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City | COAL CITY
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State | IL
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Zip | 60416-1338
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Country | US
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Telephone | 815-634-2324
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Fax | 815-634-2343
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HOWARD C FOX
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Credential | D.P.M.
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Telephone | 815-634-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 016004700
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License Number State | IL
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