Kenneth Adam Fogel, PSY D - Psychologist in Burr Ridge, IL

Kenneth Adam Fogel, PSY D is a Psychologist - Clinical based in Burr Ridge, Illinois. Kenneth Adam Fogel is licensed to practice in Illinois (license number 071006356) and his current practice location is 200 S Frontage Rd Ste 324, Burr Ridge, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 347-0491.

NPI number for Kenneth Adam Fogel is 1033121124 and his current mailing address is 118 N Chester Ave, Park Ridge, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033121124.

Contact Information

Kenneth Adam Fogel, PSY D
200 S Frontage Rd Ste 324,
Burr Ridge, IL 60527-6953
(847) 347-0491
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKenneth Adam Fogel
GenderMale
SpecialityPsychologist - Clinical
Location200 S Frontage Rd Ste 324, Burr Ridge, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033121124
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 01/08/2021

Medical Identifiers

Medical identifiers for Kenneth Adam Fogel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033121124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071006356 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Adam Fogel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Adam Fogel, PSY D
118 N Chester Ave,
Park Ridge, IL 60068

Ph: (847) 384-5679
Kenneth Adam Fogel, PSY D
200 S Frontage Rd Ste 324,
Burr Ridge, IL 60527-6953

Ph: (847) 347-0491

Reviews and Comments


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