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Search › Illinois › 208200000X

Geoffrey Fenner, MD

NPI 1629176003 · on the registry since 2006 · sole proprietor

Practice

Address
512 Green Bay Road
Kenilworth, IL 60043
Phone
(847) 716-2400
Fax
(847) 716-2401
Organisation at this address
Kenilworth Surgery Llc
Fenner Plastic Surgery, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208200000X
208200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois