Provider Demographics
NPI:1982998399
Name:FOX, JOHN CARLTON (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CARLTON
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15300 WEST AVE
Mailing Address - Street 2:SUITE 120S
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4600
Mailing Address - Country:US
Mailing Address - Phone:708-460-7890
Mailing Address - Fax:708-460-7842
Practice Address - Street 1:125 COOL SPRINGS BLVD STE 210
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4637
Practice Address - Country:US
Practice Address - Phone:629-247-6165
Practice Address - Fax:629-206-2511
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036127722207N00000X
TN67885207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology