Individual
NICHOLAS M TABOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
226 MARQUETTE ST, LA SALLE, IL 61301-2415
(815) 224-3535
(815) 224-5750
Mailing address
226 MARQUETTE ST, LA SALLE, IL 61301-2415
(815) 224-3535
(815) 224-5750
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004144
IL
Other
Enumeration date
09/22/2005
Last updated
03/21/2008
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