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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
5200 RELIABLE PARKWAY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60686-0001 |
| 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 |
| 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 Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| 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 | ||||
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| 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.