Individual
SCOTT R FOGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3939 FRANKLIN ST STE 1, MICHIGAN CITY, IN 46360-7984
(219) 214-4060
(219) 214-4061
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010596A
IN
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
06/05/2007
Last updated
07/21/2022
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