OrganizationActive
Dr Nicholas M Tabor III DPM
NPI 1619146016 · Podiatrist · Ottawa, IL
Dr Nicholas M Tabor III DPM is a Podiatrist organization in Ottawa, IL (NPI 1619146016).
Provider details
- NPI number
- 1619146016
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Dr Nicholas M Tabor III DPM
- Organization subpart
- Yes
- Authorized official
- Nicholas Tabor, Owner(815) 224-3535
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1703 Polaris Cir
Ottawa, IL 61350-1683
Phone: (815) 433-5600
Fax: (815) 434-0933
Street-level locationGet directions
Mailing address
1703 Polaris Cir
Ottawa, IL 61350-1683
Registry dates
- Enumerated
- 2008-02-29
- Last updated
- 2008-03-04
Frequently asked questions
- What is Dr Nicholas M Tabor III DPM's NPI number?
- Dr Nicholas M Tabor III DPM's National Provider Identifier (NPI) is 1619146016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Nicholas M Tabor III DPM?
- Dr Nicholas M Tabor III DPM is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Dr Nicholas M Tabor III DPM located?
- Dr Nicholas M Tabor III DPM's practice location on file with NPPES is 1703 Polaris Cir, Ottawa, IL 61350-1683.
- What is Dr Nicholas M Tabor III DPM's phone number?
- The practice phone number listed in the NPPES registry for Dr Nicholas M Tabor III DPM is (815) 433-5600.
- Who is the authorized official for Dr Nicholas M Tabor III DPM?
- The authorized official listed on Dr Nicholas M Tabor III DPM's NPPES record is Nicholas Tabor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Nicholas M Tabor III DPM's NPI active?
- Yes — Dr Nicholas M Tabor III DPM's NPI (1619146016) is active in the NPPES registry as of the last update on 2008-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.