Individual
DR. RICHARD FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-5871
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036.173697
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036173697
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
04/30/2026
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