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Organization

MARY LEE FUGINA, M.D, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY LEE FUGINA M.D. (PRESIDENT)
(847) 381-9600
Entity
Organization

Contact information

Practice address
450 W IL ROUTE 22, BARRINGTON, IL 60010-7509
(847) 381-9600
Mailing address
8135 N MILWAUKEE AVE, NILES, IL 60714-2828
(847) 967-8098
(847) 967-8594

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
IL

Other

Enumeration date
05/31/2006
Last updated
10/24/2007
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