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SHANE C FOGO, MD

FAMILY PRACTICE · EUREKA, IL

Provider

NPI
1063446318
Credential
MD
Primary specialty
FAMILY PRACTICE
Gender
Male
Medical school
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation year
2002

Practice

Address
101 S MAJOR ST, EUREKA, IL 615301246
Phone
3094672371
Accepts Medicare
No
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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