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Individual

MRS. CAROL FOGARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
11757 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1015
(708) 361-3930
(708) 361-7969
Mailing address
11757 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1015
(708) 361-3930
(708) 361-7969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0411688853
IL

Other

Enumeration date
09/16/2010
Last updated
09/16/2010
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