Brian P Igoe MD SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036071210 Issued in IL

Legal business name

BRIAN P IGOE MD SC

Practice address

347 E Burlington St
Riverside, IL 60546-2149

Phone

(708) 442-8262

Fax

(708) 442-9119

NPI assigned

Sep 5, 2007

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Paul IgoeNPI 1841387826

Title

Owner/Primary

Phone

(708) 442-8262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Paul Igoe, M.D.

  • Ophthalmology Physician
  • Riverside, IL
  • NPI 1841387826
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1639363344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462149",
            "telephone_number": "708-442-8262",
            "fax_number": "708-442-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462149",
            "telephone_number": "708-442-8262",
            "fax_number": "708-442-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P IGOE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "IGOE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRIMARY",
        "authorized_official_telephone_number": "708-442-8262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036071210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Boharic
• Amanda Susan Boo, P.A.
• Borgatti Psychotherapy
• Kevin James Brannick, LPC
• Joseph M Bresnahan, M.D.
• Leslie Ann Briars, PHARMD
• Elizabeth Brouwer, PHARMD
• Ann Bunyan, M.D
• Carl Burdinie, P.T.
• Keri Athena Burke, PA

• Medical Specialty Clinic/Center in Riverside, IL
• Providers in Riverside, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.