NPI 1639363344

Brian P Igoe MD Sc

Organisation Medical Specialty Clinic/Center Riverside, IL

Practice location

Address: 347 E Burlington St, Riverside, IL 60546-2149
Phone: (708) 442-8262
Fax: (708) 442-9119

Authorised official

Name: Brian Paul Igoe
Title: Owner/Primary
Phone: (708) 442-8262

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 036071210 (IL)

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Registry record

NPI: 1639363344
Entity type: Organization
NPI issued: 5 Sep 2007
Record last updated: 12 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.