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DR NICHOLAS M TABOR III DPM
NPI 1619146016
Podiatrist in Ottawa, IL

Active since February 29, 2008
1703 POLARIS CIR, OTTAWA, IL 61350(815) 433-5600(815) 434-0933 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Nicholas M Tabor Iii Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR NICHOLAS M TABOR III DPM (NPI 1619146016) is a healthcare organization registered as a podiatrist in Ottawa, Illinois and active in the NPI registry since February 2008. The organization lists Nicholas M Tabor, Owner, as its authorized official.

NPPES Registry Identity

NPI1619146016
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR NICHOLAS M TABOR III DPM
Location Address1703 POLARIS CIROttawa, IL 61350-1683
Mailing Address1703 Polaris CirOttawa, IL 61350-1683 · (815) 433-5600 · Fax (815) 434-0933
Phone(815) 433-5600
Fax(815) 434-0933
Organization SubpartYes
Authorized OfficialNicholas M TaborOwner · (815) 224-3535
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMarch 4, 2008
✔ NPI 1619146016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1703 POLARIS CIR, Ottawa, IL 61350
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Other Identifiers 1

Medicare NSC1296560002IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY A. CROWHURST DPM
Podiatrist
1703 POLARIS CIR
OTTAWA, IL 61350
Lasalle County (815) 434-1900
DR. THOMAS PATRICK ROONEY DMD
Dentist (Oral and Maxillofacial Surgery)
1703 POLARIS CIR
OTTAWA, IL 61350
Lasalle County (815) 434-4500
MARK BENAVIDES D.D.S., P.C.
Dentist (General Practice)
1703 POLARIS CIR
OTTAWA, IL 61350
Lasalle County (815) 434-0152
DR. BRITTANY MARIE JONES DPM
Podiatrist (Foot & Ankle Surgery)
1703 POLARIS CIR, SUITE 4
OTTAWA, IL 61350
Lasalle County (815) 434-1900
DR. MARK BENAVIDES DDS
Dentist
1703 POLARIS CIR, SUITE 3
OTTAWA, IL 61350
Lasalle County (815) 434-0152
BRITTANY M JONES DPM LLC
Podiatrist (Foot & Ankle Surgery)
1703 POLARIS CIR, SUITE 4
OTTAWA, IL 61350
Lasalle County (815) 434-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Nicholas M Tabor III Dpm's NPI number?

The NPI number for Dr Nicholas M Tabor III Dpm is 1619146016. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Dr Nicholas M Tabor III Dpm located?

Dr Nicholas M Tabor III Dpm is located at 1703 Polaris Cir, Ottawa, IL 61350. The listed phone number is (815) 433-5600.

What is Dr Nicholas M Tabor III Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Dr Nicholas M Tabor III Dpm was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.