Search › Illinois › 363LF0000X
Doris Fandohan, NURSE PRACTITIONER
NPI 1679038186 · on the registry since 2019
Practice
- Address
- 3046 127th St
Blue Island, IL 60406 - Phone
- (708) 377-7920
- Fax
- (708) 930-0414
- Clinicians at this address
- 12
Additional practice sites
- 3535 Broadway, Gary, IN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-06
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