IndividualActive
Marisa Vogt
NPI 1841158847 · Sports Medicine (Emergency Medicine) Physician · Forreston, IL
Provider details
- NPI number
- 1841158847
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- STUDENT (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 N Prairie Dr
Forreston, IL 61030-9573
Phone: (815) 990-3512
Approximate (ZIP-level) locationGet directions
Mailing address
101 N Prairie Dr
Forreston, IL 61030-9573
Registry dates
- Enumerated
- 2026-01-10
- Last updated
- 2026-01-10
- Certified
- 2026-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.