Individual
IRA F FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1870 W WINCHESTER RD STE 112, LIBERTYVILLE, IL 60048-5365
(847) 224-0165
(847) 367-7345
Mailing address
1870 W WINCHESTER RD STE 112, LIBERTYVILLE, IL 60048-5365
(847) 224-0165
(847) 367-7345
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
36058893
IL
Other
Enumeration date
07/12/2005
Last updated
04/26/2024
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