OrganizationActive
Brian P Igoe MD Sc
NPI 1639363344 · Medical Specialty Clinic/Center · Riverside, IL
Provider details
- NPI number
- 1639363344
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Igoe, Owner/Primary(708) 442-8262
- License
- 036071210 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
347 E Burlington St
Riverside, IL 60546-2149
Phone: (708) 442-8262
Fax: (708) 442-9119
Approximate (ZIP-level) locationGet directions
Mailing address
347 E Burlington St
Riverside, IL 60546-2149
Registry dates
- Enumerated
- 2007-09-05
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.