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Organization

US MEDGROUP OF ILLINOIS PC

Active
Other names
Advanced Medical Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM TOM FOGARTY MD (PRESIDENT AND TREASURER)
(972) 364-8000
Entity
Organization

Contact information

Practice address
4000 OGDEN AVE, AURORA, IL 60504-7105
(630) 820-8963
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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