Provider Demographics
NPI:1497360606
Name:FOX, LINDSEY VICTORIA (APN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:VICTORIA
Last Name:FOX
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 CLINTON PL
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1206
Mailing Address - Country:US
Mailing Address - Phone:708-955-9463
Mailing Address - Fax:
Practice Address - Street 1:7 BLANCHARD CIR STE 106
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2047
Practice Address - Country:US
Practice Address - Phone:630-580-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.422552163W00000X
IL209.021575363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse