Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE C. FOGO, M.D.
ActiveDR. SHANE C. FOGO, M.D. is a Family Medicine healthcare provider located in EUREKA, Illinois. NPI 1063446318 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EUREKA, IL
Registration Details
- NPI Number
- 1063446318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.108135045209 yrs)
- Last Updated
- Dec 14, 2012
- License
-
036111674 (IL)
Practice Information
- Address
-
105 S MAJOR STEUREKA, IL, 615301246Browse IL providers · Browse ZIP 61530
- Phone
- 3094674691
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EUREKA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN K. JONES | MD | 1942228101 |
| DR. DAVID L. MILLER | M.D. | 1437178415 |
| DR. KEITH E. KNEPP | M.D. | 1982623666 |
| DR. CHRISTOPHER R. HUGHES | M.D. | 1235158924 |
| ALEXA MILLER | — | 1831610898 |
| NICHOLAS WEBER | DO | 1336634237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.