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.
Identifier | Type | State | Issuer |
---|---|---|---|
036111674 | 05 | IL | |
10215111 | 01 | IL | BCBS TCH |
5715395 | 01 | IL | BCBS HPT |
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