LISA MARIE FOGT

EVANSTON, IL
NPI1699915660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036.120324)
Enumeration Date2009-03-03
Last Update Date2009-03-03
Business Address
Dr. LISA MARIE FOGT MD
2650 RIDGE AVE DEPARMENT OF RADIOLOGY
EVANSTON, IL 60201-1718
Phone number: 847-570-2475
Mailing Address
Dr. LISA MARIE FOGT MD
930 S EUCLID AVE
OAK PARK, IL 60304-2067
Phone number: 708-386-9124