Organization
GERALDINE S. FOX, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE S FOX MD (PHYSICIAN)
(708) 406-9772
Entity
Organization
Contact information
Practice address
215 HARRISON ST, OAK PARK, IL 60304-1533
(708) 406-9772
Mailing address
1142 WOODBINE AVE, OAK PARK, IL 60302-1212
(708) 406-9772
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863386097
FACILITY NPI
IL
Enumeration date
02/06/2025
Last updated
02/13/2025
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