Individual
DR. MICHAEL FENLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 EAST CHICAGO AVENUE, BOX#57, CHICAGO, IL 60611
(312) 227-4646
Mailing address
225 EAST CHICAGO AVENUE, BOX#57, CHICAGO, IL 60611
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
14158197-1235
UT
208600000X
Surgery Physician
135974
CA
2086S0120X
Pediatric Surgery Physician
036166547
IL
Other
Enumeration date
05/08/2015
Last updated
12/05/2025
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