Fenske, Gregg R

Fenske, Gregg R is an individual health care provider with primary practice located at 1555 Barrington Rd Suite 3450, Hoffman Estates IL 60194-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fenske, Gregg R can be contacted via phone (847) 882-2400.

Contact Information

Primary practice address
1555 Barrington Rd Suite 3450 Hoffman Estates IL 60194-1019
Phone: (847) 882-2400
Fax: (847) 884-7222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036057101 Illinois

Profile Details

NPI number 1093833873
LBN Legal business name Fenske, Gregg R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 18 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 1093833873 NPPES
Illinois MEDICAID 36057101

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