PATRICK CLINTON FENNER (NPI# 1588616585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588616585 |
| Entity Type | Individual |
| Full Name | PATRICK CLINTON FENNER |
| Credential | MD |
| Practice Address |
3825 Highland Ave Tower 2 Suite 400 Downers Grove IL 60515-1552 |
| Mailing Address |
1901 S Meyers Rd Suite 350 Oakbrook Terrace IL 60181-5243 |
| Practice Telephone | 6307194799 |
| Mailing Telephone | 6308977305 |
| Mailing Fax Number | 6304163189 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036084061 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036084061 | 05 | |
| RAILROAD MEDICARE | 060069163 | 01 |
| Street Address |
3825 HIGHLAND AVE TOWER 2 SUITE 400 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456186 | Mani Akkineni | Specialist | 3825 Highland Ave, Tower 1 Suite 2f, Downers Grove, IL 60515-1548 | 2005-06-10 |
| 1073065751 | Erin Colleen Erickson | Physician Assistant | 3825 Highland Ave, Tower 2 Suite 303, Downers Grove, IL 60515-1552 | 2016-10-28 |
| 1831644863 | Melissa Anne Robles | Registered Nurse | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-08-19 |
| 1649634247 | Premier Family Health and Wellness Center Inc | Family Medicine | 3825 Highland Ave, Suite 2b, Downers Grove, IL 60515-1552 | 2016-04-09 |
| 1881057917 | Diana Marie Amidei-stefanik | Nurse Practitioner | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-04-05 |
| 1851768337 | Kelly Ridges | Nurse Practitioner | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2015-08-31 |
| 1780088955 | Megan Rhodes | Physician Assistant | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2014-10-17 |
| 1952714230 | Judith Notley Burke | Social Worker | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2014-06-04 |
| 1699115360 | Kathleen Ann Miller | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| 1134569809 | Nancy Moran | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285903849 | Advocate Health and Hospitals Corporation | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2011-12-27 |
| 1003862467 | Peter Michael Kerwin | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2006-05-26 |
| 1023061108 | Stephen Michael Rowley | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
| 1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| 1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on PATRICK CLINTON FENNER.
| 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.