| Frederick John Fagan, OD | |
|
141 W North Ave, Northlake, IL 60164-2322 | |
| (708) 492-1425 | |
| Not Available |
| Full Name | Frederick John Fagan |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 141 W North Ave, Northlake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710153069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046006959 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick John Fagan, OD 1109 Oxford Ct, Oakbrook Terrace, IL 60181-5251 Ph: (630) 629-1711 | Frederick John Fagan, OD 141 W North Ave, Northlake, IL 60164-2322 Ph: (708) 492-1425 |
Diane G Forecki, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 137 W North Ave, Northlake, IL 60164 Phone: 708-409-0047 | |
Dr. Vishal K Patel, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 137 W North Ave, Vision Center, Northlake, IL 60164 Phone: 708-409-0047 | |
Vishal K Patel Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 137 W North Ave, Northlake, IL 60164 Phone: 847-501-0319 |