Fondriest, Diane W

Fondriest, Diane W is an individual health care provider with primary practice located at 900 N Westmoreland Rd Suite 106, Lake Forest IL 60045-1674. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fondriest, Diane W can be contacted via phone (847) 615-4654.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 106 Lake Forest IL 60045-1674
Phone: (847) 615-4654
Fax: (847) 615-1708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036065837 Illinois

Profile Details

NPI number 1568457554
LBN Legal business name Fondriest, Diane W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Apr 18th, 2024 - about 7 months 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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