Individual
DAVID E FOOSANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S MILWAUKEE RD, LIBERTYVILLE, IL 60048-3199
(847) 362-2900
Mailing address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036086418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360864183
—
IL
Enumeration date
07/17/2006
Last updated
10/27/2025
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