Individual
SUSAN D FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BOOK LN, JACKSONVILLE, IL 62650-2701
(217) 473-3813
Mailing address
5 BOOK LN, JACKSONVILLE, IL 62650-2701
(217) 473-3813
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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