Organization
DR NICHOLAS M TABOR III DPM
Active
Parent organization
DR NICHOLAS M TABOR III DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR NICHOLAS M TABOR III DPM
Authorized official
DR. NICHOLAS M TABOR III DPM (OWNER)
(815) 224-3535
Entity
Organization
Contact information
Practice address
1703 POLARIS CIR, OTTAWA, IL 61350-1683
(815) 433-5600
(815) 434-0933
Mailing address
1703 POLARIS CIR, OTTAWA, IL 61350-1683
(815) 433-5600
(815) 434-0933
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/29/2008
Last updated
03/04/2008
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