Individual
DR. SARAH JOST FOUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 3900, O FALLON, IL 62269-1282
(888) 828-8608
(314) 558-9017
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 806-1770
(314) 558-9017
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036157579
IL
207T00000X
Neurological Surgery Physician
2015017231
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113620051
MEDICARE MO
MO
05
—
200063204
—
MO
01
—
F400775751
MEDICARE IL
IL
Enumeration date
08/31/2006
Last updated
01/22/2024
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