Individual provider Active NPI

John Thornton Fox, MD

  • Internal Medicine Physician
  • Palatine, IL
National Provider Identifier
1619073145
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036064952 Issued in IL
Practice address
500 N Hicks Rd
Ste 100
Palatine, IL 60067-3647
Phone
(847) 221-8700
Fax
(847) 991-9348
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036064952 IL Primary

Addresses

Primary practice location

500 N Hicks Rd
Ste 100
Palatine, IL 60067-3647

Mailing address

500 N Hicks Rd
Ste 100
Palatine, IL 60067-3647
Phone (847) 221-8700

Other identifiers 1

IdentifierTypeStateIssuer
036064952OtherIL STATE MED LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619073145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HICKS RD",
            "address_2": "STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673647",
            "telephone_number": "847-221-8700",
            "fax_number": "847-991-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HICKS RD",
            "address_2": "STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673647",
            "telephone_number": "847-221-8700",
            "fax_number": "847-991-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHN",
        "middle_name": "THORNTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE MED LICENSE",
            "identifier": "036064952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.