Search › Illinois › 164W00000X
Latisha Fox
NPI 1750851291 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1421 Prairie Creek Trl
Joliet, IL 60431 - Phone
- (815) 600-5437
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois