Nicholas M Tabor (NPI# 1255327441, PAC ID# 4385776285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1255327441 |
| PAC ID by PECOS | 4385776285 |
| Professional Enrollment ID | I20100712000687 |
| Full Name | Nicholas M Tabor |
| Address |
226 Marquette St Lasalle IL 61301-2415 |
| Phone Number | 8152243535 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140143 | ST MARGARETS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 226 Marquette St, Lasalle, IL 61301-2415 | 8152243535 | |
| 1703 Polaris Cir, Ottawa, IL 61350-1683 | 8154335600 |
| Street Address |
226 MARQUETTE ST |
| City | LASALLE |
| State | IL |
| Zip | 61301-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yesenia Valdez | Family Medicine | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Ronda W Ketner | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Noelle T Sliker | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Elizabeth M Davis | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Liberty K Grzybowski | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Maryfrances Crist | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Jamie Bond | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Sarah Morscheiser | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| David K Kalapp | Chiropractic | 2426 Chartres St, La Salle, IL 61301-1107 | |
| Tammy R Thieme | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
| Find all physicians in zip 61301 | |||
| City | LASALLE |
| Zip Code | 61301 |
| Specialty | PODIATRY |
| City + Specialty | LASALLE + PODIATRY |
Please comment or provide details below to improve the information on Nicholas M Tabor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.