Maureen Fogarty, INTERN

NPI #1245844455 in Beecher, Illinois

Provider Information

NPI Number: 1245844455
Entity Type: Individual
Name: Maureen Fogarty, INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: INTERN
Enumeration Date: Sep 4, 2020
Last Updated: Sep 4, 2020

Practice Location

Address: 3663 W CHURCH RD BLDG 2
City: Beecher
State: Illinois
ZIP Code: 60401-3501
Phone: (708) 792-3397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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