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BRIAN P IGOE MD SC NPI 1639363344


NPI Information

NPI: 1639363344
Provider Name: BRIAN P IGOE MD SC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
347 E BURLINGTON ST
RIVERSIDE, IL
ZIP 60546
Phone: (708) 442-8262
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BRIAN P IGOE MD SC is a medical specialty clinic center in Riverside, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BRIAN P IGOE MD SC NPI is 1639363344. The provider is registered as an organization entity type.

The provider's business location address is:

347 E BURLINGTON ST
RIVERSIDE, IL
ZIP 60546-149
Phone: (708) 442-8262
Fax: (708) 442-9119

The provider's authorized official is Brian Paul Igoe .
The authorized official title is Owner/primary and has the following contact phone number (708) 442-8262.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 4/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty036071210ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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