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Contact Information

JAMES A FOGARTY, ED.D.
122 S. PRAIRIE ST. SUITE A
ROCKTON, IL61072
 Phone: 815-624-8383
 Fax: 815-624-8383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES A FOGARTY · (Male)

NPI Number 1891085767
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 04/13/2011
Last updated 04/27/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071-003-659
  • IL License # 071.003659
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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