Individual
MICHAEL FOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9831 S WESTERN AVE, SPECIALTY: 3RD FLOOR, CHICAGO, IL 60643-1740
(773) 445-3500
(773) 445-0575
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1225
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-057389
IL
207R00000X
Internal Medicine Physician
036-057389
IL
Other
Enumeration date
07/18/2006
Last updated
03/15/2023
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