Individual provider · Type 1 NPI

Shane C. Fogo, MD

Family Medicine Physician · Eureka, IL

NPI number 1063446318 Active

Practice location

105 S Major St
Eureka, IL 61530-1246

Call (309) 467-4691 Map

Mailing address

701 Lee St, Suite 300
Des Plaines, IL 60016-4539

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X036111674 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1063446318

Shane C. Fogo, MD's National Provider Identifier is 1063446318, issued on Jul 11, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Eureka, IL. The record was last updated on Dec 14, 2012.