Individual
BARRY MICHAEL FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BELHAVEN HEALTHCARE & RETIREMENT, 11401 S OAKLEY AVE, CHICAGO, IL 60643-4196
(773) 233-6311
Mailing address
8170 MCCORMICK BLVD, SUITE 204, SKOKIE, IL 60076-2961
(847) 673-0718
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34419000
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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