Individual
MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 S WASHINGTON ST, STE 350, NAPERVILLE, IL 60540-6603
(630) 717-2646
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036102920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102920
—
IL
Enumeration date
02/22/2006
Last updated
08/29/2023
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