# BRIAN P IGOE MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639363344
- **Authorized official:** DR. BRIAN PAUL IGOE (OWNER/PRIMARY)
- **Authorized official phone:** (708) 442-8262

## Contact information

- **Practice address:** 347 E BURLINGTON ST, RIVERSIDE, IL 60546-2149
- **Practice address phone:** (708) 442-8262
- **Practice address fax:** (708) 442-9119
- **Mailing address:** 347 E BURLINGTON ST, RIVERSIDE, IL 60546-2149
- **Mailing address phone:** (708) 442-8262
- **Mailing address fax:** (708) 442-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036071210 | IL | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 04/12/2024