DR. Tamara R Fountain, M.D.

NPI #1033110978 in Deerfield, Illinois

Provider Information

NPI Number: 1033110978
Entity Type: Individual
Name: DR. Tamara R Fountain, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Credential: M.D.
Enumeration Date: Aug 2, 2005
Last Updated: Jun 3, 2016

Practice Location

Address: 740 WAUKEGAN RD
Address 2: SUITE 360
City: Deerfield
State: Illinois
ZIP Code: 60015-4374
Phone: (847) 945-6770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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