Individual
CHARLES SAMUEL FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 HIGHCREST DR, WILMETTE, IL 60091-2358
(312) 856-0170
Mailing address
474 HIGHCREST DR, WILMETTE, IL 60091-2358
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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