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Search › Illinois › Optometrist

Frederick Fagan, O.D

NPI 1710153069 · on the registry since 2008 · sole proprietor

Practice

Address
141 W North Ave
Northlake, IL 60164
Phone
(708) 492-1425
Organisation at this address
Sams West Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-07

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