# U. S. MEDGROUP, P. A. DBA OCCSPECIALISTS P. C. (IL)

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

## Provider details

- **NPI number:** 1801082300
- **Authorized official:** DR. TOM FOGARTY MD (EVP, CMO)
- **Authorized official phone:** (800) 232-3550

## Contact information

- **Practice address:** 2080 SPRINGER DR, LOMBARD, IL 60148-6402
- **Practice address phone:** (630) 932-4540
- **Practice address fax:** (630) 932-4745
- **Mailing address:** 5080 SPECTRUM DR, STE. 1200 WEST TOWER, ADDISON, TX 75001-4648
- **Mailing address phone:** (800) 232-3550
- **Mailing address fax:** (800) 401-6728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/18/2007