Individual
DR. ANNA FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1200 HARGER RD STE 600, OAK BROOK, IL 60523-1820
(630) 571-5750
(630) 571-5751
Mailing address
6009 N LOUISE AVE, CHICAGO, IL 60646-5637
(708) 218-5238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010854
IL
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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