Provider Demographics
NPI:1346478377
Name:EGGER, JOHN FONTAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FONTAINE
Last Name:EGGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 ROHLWING RD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3217
Mailing Address - Country:US
Mailing Address - Phone:847-524-8800
Mailing Address - Fax:847-524-8824
Practice Address - Street 1:30 N MICHIGAN AVE STE 2014
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3941
Practice Address - Country:US
Practice Address - Phone:601-832-9569
Practice Address - Fax:312-789-4381
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361320022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry