Individual
DONALD FAGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
036085741
IL
Other
Enumeration date
04/04/2007
Last updated
03/31/2015
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