John Moore Fogarty, - Counselor in Chicago, IL

John Moore Fogarty, is a Counselor - Addiction (substance Use Disorder) based in Chicago, Illinois. John Moore Fogarty is licensed to practice in * (Not Available) (license number ) and his current practice location is 125 E 13th St Unit 911, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (440) 391-3995.

NPI number for John Moore Fogarty is 1316603632 and his current mailing address is 125 E 13th St Unit 911, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316603632.

Contact Information

John Moore Fogarty,
125 E 13th St Unit 911,
Chicago, IL 60605-2675
(440) 391-3995
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJohn Moore Fogarty
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location125 E 13th St Unit 911, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316603632
  • Provider Enumeration Date: 11/10/2021
  • Last Update Date: 11/10/2021

Medical Identifiers

Medical identifiers for John Moore Fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316603632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Moore Fogarty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Moore Fogarty,
125 E 13th St Unit 911,
Chicago, IL 60605-2675

Ph: (440) 391-3995
John Moore Fogarty,
125 E 13th St Unit 911,
Chicago, IL 60605-2675

Ph: (440) 391-3995

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