Organization
FENNER PLASTIC SURGERY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY CRAIG FENNER M.D. (PHYSICIAN/OWNER)
(847) 716-2400
Entity
Organization
Contact information
Practice address
512 GREEN BAY RD, KENILWORTH, IL 60043-1073
(847) 716-2400
(847) 716-2401
Mailing address
512 GREEN BAY RD, KENILWORTH, IL 60043-1073
(847) 716-2400
(847) 716-2401
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036081864
IL
Other
Enumeration date
08/22/2008
Last updated
10/29/2020
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