| NPI | 1497877963 |
|---|---|
| Other Name | DONALD FAGERSON MD SC |
| Entity Type | Organization |
| Authorized Contact | DONALD L FAGERSON President 847-358-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-085741) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-04-23 |