person
Dr. Joseph Thomas Fanara, DPM
Foot & Ankle Surgery Podiatrist in Rockford, Illinois
NPI 1578658506

Joseph Thomas Fanara is a Foot & Ankle Surgery Podiatrist based in Rockford, IL and is specialized in Foot & Ankle Surgery. Joseph Thomas Fanara practices in Rockford, IL and has the professional credentials of DPM. The NPI Number for Joseph Thomas Fanara is 1578658506 and holds a License No. 016-004607 (Illinois).

The current practice location address for Joseph Thomas Fanara is 1617 Temple Lane, Rockford, IL and can be reached out via phone at 815-332-5222 and via fax at 815-332-5223.

Location: 1617 Temple Lane, Rockford, IL, 61112-1045
person
Provider Profile Details
NPI Number
1578658506
Provider Name
Joseph Thomas Fanara
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1617 Temple Lane, Rockford, IL, 61112-1045
Phone Number
815-332-5222
Fax Number
815-332-5223
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1617 Temple Lane
City
State
Zip
61112-1045
Phone Number
815-332-5222
Fax Number
815-332-5223
person
Provider Business Mailing Address Details
Address
1617 Temple Lane
City
State
Zip
61112-1045
Phone Number
815-332-5222
Fax Number
815-332-5223
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-004607 (Illinois)
Definition
Definition to come...
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