Individual
DR. JOSEPH THOMAS FANARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1617 TEMPLE LANE, ROCKFORD, IL 61112-1045
(815) 332-5222
(815) 332-5223
Mailing address
1617 TEMPLE LANE, ROCKFORD, IL 61112-1045
(815) 332-5222
(815) 332-5223
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004607
IL
Other
Enumeration date
10/04/2006
Last updated
03/09/2010
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