Nicholas M Tabor is a Podiatrist in La Salle, Illinois. Nicholas M Tabor practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Nicholas M Tabor is 1255327441. The last update date is 2008-03-21.
Nicholas M Tabor's current location address is 226 Marquette St, La Salle, Illinois. You can contact this provider via phone number 8152243535 and fax number 8152245750. The mailing address for Nicholas M Tabor is 226 Marquette St, La Salle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas M Tabor |
|---|---|
| Address | 226 Marquette St, La Salle, Illinois |
| Phone Number | 8152243535 |
| Fax Number | 8152245750 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1255327441 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2008-03-21 |
Provider Mailing Address Detail
| Address | 226 Marquette St |
|---|---|
| City | La Salle |
| State | Illinois (IL) |
| Post Code | 613012415 |
| Phone Number | 8152243535 |
| Fax Number | 8152245750 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004144 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the Nicholas M Tabor's unique identification number?
The Nicholas M Tabor has been assigned the NPI (National Provider Identifier) Number 1255327441 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Nicholas M Tabor located?
The Nicholas M Tabor is located at 226 Marquette St, La Salle, IL 613012415.
What is the Nicholas M Tabor's area of specialization and corresponding taxonomy classification?
The Nicholas M Tabor's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Nicholas M Tabor receive the assignment of its 1255327441 from the Centers for Medicare & Medicaid Services?
The Nicholas M Tabor was issued its 1255327441 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details related to Nicholas M Tabor most recently updated or revised?
The information pertaining to Nicholas M Tabor, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-21.
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