NPI 1659786150

Diana Tabor, DPM

Practitioner Foot & Ankle Surgery Podiatrist Glen Ellyn, IL

Practice location

Address: 430 Pennsylvania Ave STE 240, Glen Ellyn, IL 60137-4464
Phone: (630) 510-6929
Fax: (630) 355-3257
Mailing address: PO Box 713260, Chicago, IL 60677-1260

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005675 (IL)

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Registry record

NPI: 1659786150
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2014
Record last updated: 23 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.