Organization
DONALD L FAGERSON MD SC
Active
Other names
Donald Fagerson MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L FAGERSON MD (PRESIDENT)
(847) 358-1588
Entity
Organization
Contact information
Practice address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 358-1588
(847) 358-1542
Mailing address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 358-1588
(847) 358-1542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-085741
IL
Other
Enumeration date
04/04/2007
Last updated
04/23/2015
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