Provider Demographics
NPI:1689733149
Name:JOHN S FOX DDS LTD
Entity Type:Organization
Organization Name:JOHN S FOX DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-398-1600
Mailing Address - Street 1:1600 N. ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:SUITE #1600
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3908
Mailing Address - Country:US
Mailing Address - Phone:847-398-1600
Mailing Address - Fax:847-398-1611
Practice Address - Street 1:1600 N ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:SUITE 1600
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3908
Practice Address - Country:US
Practice Address - Phone:847-398-1600
Practice Address - Fax:847-398-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210018771223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty