Fenton, Gregory

Fenton, Gregory is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fenton, Gregory can be contacted via phone (312) 942-5000.

Contact Information

Primary practice address
1653 W Congress Pkwy Chicago IL 60612-3833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125066583 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 03614967 Illinois

Profile Details

NPI number 1295115079
LBN Legal business name Fenton, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Mar 24th, 2022 - 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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