Individual
GREGG R FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 BARRINGTON RD, SUITE 3450, HOFFMAN ESTATES, IL 60194-1019
(847) 882-2400
(847) 884-7222
Mailing address
1555 BARRINGTON RD, SUITE 3450, HOFFMAN ESTATES, IL 60194-1019
(847) 882-2400
(847) 884-7222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036057101
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36057101
—
IL
Enumeration date
03/27/2007
Last updated
07/08/2007
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