Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 019029110 | IL |
NPI | 1114189982 |
---|---|
Provider Name | Dr. Joshua Foxson |
First Address | Naperville, IL 60540-6643 |
Second Address | Naperville, IL 60540-6643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 26/04/2017 |