Fountain Healthcare Limited Liability Company
NPI #1730425851 in Streator, Illinois
Provider Information
- NPI Number
- 1730425851
- Entity Type
- Organization
- Organization Name
- Fountain Healthcare Limited Liability Company
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Dec 18, 2012
- Last Updated
- Dec 18, 2012
Practice Location
Authorized Official
- Name
- DR. MARK ALAN WARGO, M.D.
- Title
- PHYSICIAN
- Phone
- (815) 793-6611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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