MEDICARE: MRS. MARGARET E VOGELSANG P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant		IL

General Provider Information

NPI Number	:	1205934114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET E VOGELSANG P.A.

Provider Business Mailing Address
First Line	:	1960 FREEDOM PKWY
Second Line	:
City	:	WASHINGTON
State	:	IL
Zip	:	61571-9468
Country	:	US
Telephone Number	:	309-745-1425
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 FREEDOM PKWY
Second Line	:
City	:	WASHINGTON
State	:	IL
Zip	:	61571-9468
Country	:	US
Telephone Number	:	309-745-1425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/25/2007

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Directions to “ MRS. MARGARET E VOGELSANG P.A.” Practice Location

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