Tamara R Fountain M.D.

NPI 1033110978 - Ophthalmology - 207W00000X

NPI Details
NPI 1033110978
Gender Female
Enumeration Date 08/02/2005
Last Updated 06/03/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
740 WAUKEGAN RD
SUITE 360
DEERFIELD IL, 60015-4374, US
Phone (847) 945-6770
Fax (847) 945-3159
Business Location
740 WAUKEGAN RD
SUITE 360
DEERFIELD IL, 60015-4374, US
Phone (847) 945-6770
Fax (847) 945-3159
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Dr. Tamara R Fountain M.D. NPI is 1033110978, taxonomy code is 207W00000X Tamara R Fountain M.D. physically located at 740 Waukegan Rd, Deerfield IL, 60015-4374. NPI Number Tamara R Fountain M.D. has the Individual type.

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1033110978 NPI number is provided on an as is basis without warranty of any kind. 1033110978 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara R Fountain M.D. are for informational purposes only.