Fagan, Brian Michael
Fagan, Brian Michael is an individual health care provider with primary practice located at Joliet Radiological Services Corp Provena St. Joesph Me 333 N Madison St, Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fagan, Brian Michael can be contacted via phone (815) 741-7213.Contact Information
Primary practice address
Joliet Radiological Services Corp Provena St. Joesph Me 333 N Madison St
Joliet IL 60435
Phone: (815) 741-7213
Fax: (815) 741-7591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36107817 | Illinois |
Profile Details
NPI number | 1831280494 |
---|---|
LBN Legal business name | Fagan, Brian Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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