Individual
SAMUEL DEAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 N UNIVERSITY ST, PEORIA, IL 61604-1324
(309) 886-9172
(309) 509-4045
Mailing address
PO BOX 9727, PEORIA, IL 61612-9727
(309) 886-9172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME169992
FL
207V00000X
Obstetrics & Gynecology Physician
4301090776
MI
208D00000X
General Practice Physician
Primary
ME169992
FL
Other
Enumeration date
06/29/2007
Last updated
02/19/2026
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