Individual
ADAM M VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 351-4859
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
(618) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036118732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118732
—
IL
Enumeration date
08/05/2007
Last updated
04/13/2023
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