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Dr. Shane C. Fogo, MD
Family Medicine Physician in Eureka, Illinois
NPI 1063446318

Shane C. Fogo is a Family Medicine Physician based in Des Plaines, IL. Shane C. Fogo practices in Eureka, IL and has the professional credentials of MD. The NPI Number for Shane C. Fogo is 1063446318 and holds a License No. 036111674 (Illinois).

The current practice location address for Shane C. Fogo is 105 S Major St, Eureka, IL and can be reached out via phone at 309-467-4691.

Location: 105 S Major St, Eureka, IL, 60016-4539
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Provider Profile Details
NPI Number
1063446318
Provider Name
Shane C. Fogo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
105 S Major St, Eureka, IL, 60016-4539
Phone Number
309-467-4691
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036111674 05 IL
10215111 01 IL BCBS TCH
5715395 01 IL BCBS HPT
institution
Provider Business Practice Location Address Details
Address
105 S Major St
City
State
Zip
61530-1246
Phone Number
309-467-4691
Fax Number
person
Provider Business Mailing Address Details
Address
105 S Major St
City
State
Zip
61530-1246
Phone Number
309-467-4691
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036111674 (Illinois)
Definition
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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