Organization
FOX GLEN ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MANN (OFFICE MANAGER)
(847) 382-7165
Entity
Organization
Contact information
Practice address
201 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Mailing address
201 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036096799
IL
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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