OrganizationActive
Fountain Healthcare Limited Liability Company
NPI 1730425851 · Adult Medicine Physician · Streator, IL
Provider details
- NPI number
- 1730425851
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Wargo, Physician(815) 793-6611
- License
- 036099987 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1639 N 1590th Rd
Streator, IL 61364-9644
Phone: (815) 793-6611
Fax: (630) 592-7500
Street-level locationGet directions
Mailing address
1639 N 1590th Rd
Streator, IL 61364-9644
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.