Edward J Fesco MD Sc

NPI #1659538270 in Lasalle, Illinois

Provider Information

NPI Number: 1659538270
Entity Type: Organization
Organization Name: Edward J Fesco MD Sc
Subpart: Yes (part of a larger organization)
Parent Organization: EDWARD J FESCO MD SC
Primary Specialty: Surgery
Enumeration Date: May 21, 2008
Last Updated: May 21, 2008

Practice Location

Address: 206 MARQUETTE ST
Address 2: ROOM 206
City: Lasalle
State: Illinois
ZIP Code: 61301
Phone: (815) 223-3616

Authorized Official

Name: EDWARD JOHN FESCO, MD
Title: SOLO PRACTIONER
Phone: (815) 223-3616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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