DR. CRAIG A FENTON


Address: 5200 Reliable Parkway, Chicago, IL 60686-0001
Phone: 3096718748

DR. CRAIG A FENTON (NPI# 1528019437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528019437
Entity Type Individual
Full Name DR. CRAIG A FENTON
Credential M.D.
Practice Address 5200 Reliable Parkway
Chicago
IL 60686-0001
Mailing Address 411 Hamilton Blvd
Suite 1824
Peoria
IL 61602-1144
Practice Telephone 3096718748
Practice Fax Number 3096718740
Mailing Telephone 3094949320
Mailing Fax Number 3094949321
Enumeration Date 2006-05-15
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 5200 RELIABLE PARKWAY
City CHICAGO
State IL
Zip Code 60686-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194775858 Mandar A Pattekar Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-11
1578514543 Stephen M Smith Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1134170004 James A Mcgee Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1760433726 Carter S Young Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1790736635 Gordon L Cross Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1073563730 Michelle Y Regehr Nurse Practitioner 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174765945 Mclaren Oakland Clinic/Center 8172 Reliable Pkwy, Chicago, IL 60686-0001 2009-03-25
1053566182 Kathryn A Davidson Counselor 2683 Reliable Pkwy, Chicago, IL 60686-0001 2008-11-17
1356590525 Keith A Roberts Optometrist 5855 Reliable Pkwy, Chicago, IL 60686-0001 2008-09-12
1467447268 Mark B Austin Pathology 6810 Reliable Pkwy, Chicago, IL 60686-0001 2005-09-19
1326042235 Wayne Macomb Diagnostic Imaging Center Inc Radiology 8690 Reliable, Chicago, IL 60686-0001 2005-06-09
1235133141 Macomb Magnetic Resonance Imaging Center Inc Radiology 8956 Reliable Parkway, Chicago, IL 60686-0001 2005-06-09
1609200971 Keith J Cermak Nurse Practitioner 5198 Reliable Pkwy, Chicago, IL 60686-0051 2013-08-22
1528400850 Nikki Lynn Miller Nurse Practitioner 5100 Reliable Pkwy, Chicago, IL 60686-0051 2013-07-29
1851775340 Naheed Mirebrahimi Family Medicine 5100 Reliable Pkwy, Chicago, IL 60686-0051 2015-07-14
1932583432 Chad Murphy Family Medicine 5100 Reliable Pkwy, Chicago, IL 60686-0051 2015-07-14
Find all providers in zip 60686

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376196220 Parvathamma Imaging Services, LLC Radiology 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 2019-07-19
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1366976631 Ali Mostafa Serhal Radiology 240 E. Huron St, Suite 1-203, Chicago, IL 60617 2017-04-13
1790132934 Peter Barton Moreau Radiology 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 2016-05-18
1043678899 Burce Ozgen Mocan Radiology 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 2016-02-08
1538552898 Imo Ime Uko Radiology 4646 N Marine Dr Ste 7100, Chicago, IL 60640 2015-03-11
1962891739 Katherine Conlon Radiology 240 E Huron St # 1-203, Chicago, IL 60611 2015-01-16
1861805871 Arun Nagaraju Radiology 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 2014-06-06
1568873529 Emily Ghobadi Radiology 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 2014-05-13
1306266903 Jessica Kristen Peterson Radiology 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 2014-04-22
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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