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Organization
ADRIENNE M BURFORD-FOGGS MD SC
Active
Organization
ADRIENNE M BURFORD-FOGGS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE M BURFORD-FOGGS MD SC M.D. (PHYSICIAN)
(312) 926-0551
Entity
Organization
Contact information
Practice address
233 E ERIE ST STE 701, CHICAGO, IL 60611-5933
(312) 664-4000
(312) 664-4006
Mailing address
233 E ERIE ST STE 701, CHICAGO, IL 60611-5933
(312) 664-4000
(312) 664-4006
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036072741
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072741
—
IL
Enumeration date
10/28/2008
Last updated
02/25/2020
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