SearchIllinois2255A2300X

Zachary Fienhold

NPI 1811369234 · on the registry since 2015

Practice

Address
1 University Ave
Bourbonnais, IL 60914
Phone
(815) 419-7274
Clinicians at this address
11

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-25

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