Individual
FREDERICK JOHN FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
141 W NORTH AVE, NORTHLAKE, IL 60164-2322
(708) 492-1425
Mailing address
1109 OXFORD CT, OAKBROOK TERRACE, IL 60181-5251
(630) 629-1711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006959
IL
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us