Dr. Tamara R Fountain
Ophthalmologist
740 Waukegan Rd Suite 360
Deerfield
, Illinois 60015-4374
Dr. Tamara R Fountain
Ophthalmologist
740 Waukegan Rd Suite 360
Deerfield
, Illinois 60015-4374
(847) 945-3159
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Tamara R Fountain
- 740 Waukegan Rd Suite 360
- Deerfield, IL
- Zip : 60015-4374
- Fax : (847) 945-3159
- Phone : (847) 945-6770
Second Address
- Dr. Tamara R Fountain
- 740 Waukegan Rd Suite 360
- Deerfield, IL
- Zip : 60015-4374
- Fax : (847) 945-3159
- Phone : (847) 945-6770
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Is Dr. Tamara R Fountain a sole practitioner?
Is Dr. Tamara R Fountain accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 036-085597 | IL |
National Provider Identifier
| NPI | 1033110978 |
|---|---|
| Provider Name | Dr. Tamara R Fountain |
| First Address | Deerfield, IL 60015-4374 |
| Second Address | Deerfield, IL 60015-4374 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 03/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036085597 | (05) | IL |
| 180042658 | RAILROAD MEDICARE (01) | |
| G02720 | (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.