Fenner, Patrick Clinton

Fenner, Patrick Clinton is an individual health care provider with primary practice located at 3825 Highland Ave Tower 2 Suite 400, Downers Grove IL 60515-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Fenner, Patrick Clinton can be contacted via phone (630) 719-4799.

Contact Information

Primary practice address
3825 Highland Ave Tower 2 Suite 400 Downers Grove IL 60515-1552
Phone: (630) 719-4799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036084061 Illinois

Profile Details

NPI number 1588616585
LBN Legal business name Fenner, Patrick Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588616585 NPPES
Illinois MEDICAID 036084061
Illinois Other 060069163

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