Individual
DR. DANIEL PATRICK FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201
(847) 570-2760
(847) 570-2921
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036120731
IL
207L00000X
Anesthesiology Physician
222519
MA
Other
Enumeration date
01/04/2007
Last updated
12/10/2021
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