Individual
LAURA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 OAK ST, CARMI, IL 62821-1344
(618) 382-2927
(618) 382-2906
Mailing address
404 W CARPENTER ST, MC LEANSBORO, IL 62859-1013
(618) 926-1024
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160002687
IL
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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