BRIAN MICHAEL FAGAN (NPI# 1831280494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831280494 |
| Entity Type | Individual |
| Full Name | BRIAN MICHAEL FAGAN |
| Credential | MD |
| Practice Address |
Joliet Radiological Services Corp Provena St. Joesph Me 333 N Madison St Joliet IL 60435 |
| Mailing Address |
836 Fornham Ln Wheaton IL 60187 |
| Practice Telephone | 8157417213 |
| Practice Fax Number | 8157417591 |
| Mailing Telephone | 6306819927 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36107817 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1669013843 | Brian J Fagan | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1740308550 | Brian T Fagan | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-03-27 |
| 1881634210 | Brian D Fagan | Surgery | 373 W 101st Ter, Suite 210, Kansas City, MO 64114-4408 | 2006-06-07 |
| Street Address |
JOLIET RADIOLOGICAL SERVICES CORP PROVENA ST. JOESPH ME 333 N MADISON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1841423696 | Advanced Medical Imaging of Joliet, LLC | Radiology | 330 N Madison Ave, Joliet, IL 60435-6565 | 2009-08-27 |
| 1760524110 | Harry R Platt | Radiology | 620 Wildwood Dr, Joliet, IL 60431-4891 | 2007-02-13 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1871561621 | Salvador A. Rinella | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2006-03-09 |
| 1083698831 | Shin I Nam | Radiology | 1200 Maple Road, Joliet, IL 60432-1439 | 2005-12-05 |
| 1669602660 | Noah Robert Schwind | Radiology | 333 Madison St, Joliet, IL 60435-8200 | 2009-07-24 |
| 1437343696 | Gregory D Price | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2007-08-30 |
| 1144379363 | John Scott Groch | Radiology | 333 Madison, St Joseph Medical Center, Joliet, IL 60435-8233 | 2007-01-09 |
| 1659440774 | Robert Earl Boyd IIi | Radiology | 333 North Madison Street, Provena Saint Joseph Medical Center, Joliet, IL 60435 | 2006-11-06 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on BRIAN MICHAEL FAGAN.
| 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.