Individual
JOSEPH G FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 RIDGE RD STE E, MUNSTER, IN 46321-1535
(630) 728-6247
(630) 216-7025
Mailing address
493 S PARKSIDE AVE, ELMHURST, IL 60126-3935
(630) 728-6247
(630) 216-7025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01071173A
IN
2084P0800X
Psychiatry Physician
036076000
IL
Other
Enumeration date
02/24/2007
Last updated
01/14/2025
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