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SHANE FOGO, M.D.

M.D.

Family Medicine Physician

NPI: 1063446318Individual

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

036111674(IL)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Class of 2002

Contact & Hours

Address
105 S MAJOR ST
EUREKA, IL 61530

Quick Facts

NPI
1063446318
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
24

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