Timothy Fendon in Joliet - Emergency Medicine
Timothy Fendon - NPI 1689675811
Timothy Fendon is a Emergency Medicine in Joliet, Illinois. Timothy Fendon practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Timothy Fendon is 1689675811. The last update date is 2021-12-17.
Timothy Fendon's current location address is 2100 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8159993201. The mailing address for Timothy Fendon is 2100 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Fendon |
|---|---|
| Address | 2100 Glenwood Ave, Joliet, Illinois |
| Phone Number | 8159993201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689675811 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 2100 Glenwood Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604355487 |
| Phone Number | 8159993201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 036-098625 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200895510 | IN | -- | |
| 36098625 | IL | -- | |
| 365227 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy Fendon by the Centers for Medicare & Medicaid Services?
The Timothy Fendon has been issued the NPI (National Provider Identifier) 1689675811 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Timothy Fendon's facilities are geographically located?
The facilities of Timothy Fendon are physically situated at the following location: 2100 Glenwood Ave, Joliet, IL, 604355487.
What is Timothy Fendon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy Fendon is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689675811 to Timothy Fendon?
The Centers for Medicare & Medicaid Services assigned the 1689675811 to Timothy Fendon on 2005-08-10.
When was the Timothy Fendon's information last updated?
The Timothy Fendon's information was last updated on 2021-12-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY