Individual
MAUREEN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
3663 W CHURCH RD BLDG 2, BEECHER, IL 60401-3501
(708) 792-3397
Mailing address
3663 W CHURCH RD BLDG 2, BEECHER, IL 60401-3501
(773) 350-6289
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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