Dr. Bruce Noxon
Podiatrist
2401 Ravine Way Ste 200
Glenview
, Illinois 60025-7645
Dr. Bruce Noxon
Podiatrist
2401 Ravine Way Ste 200
Glenview
, Illinois 60025-7645
(847) 929-1154
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Bruce Noxon
- 900 Rand Rd Ste 300
- Des Plaines, IL
- Zip : 60016-2359
- Fax : (847) 929-1154
- Phone : (847) 324-3976
Second Address
- Dr. Bruce Noxon
- 2401 Ravine Way Ste 200
- Glenview, IL
- Zip : 60025-7645
- Fax : (847) 998-6365
- Phone : (847) 998-5680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016-004911 | IL |
| Y | 222Z00000X | Podiatrist | 016-004911 | IL |
National Provider Identifier
| NPI | 1043263171 |
|---|---|
| Provider Name | Dr. Bruce Noxon |
| First Address | Des Plaines, IL 60016-2359 |
| Second Address | Glenview, IL 60025-7645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 19/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U75837 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.