| Dr Patrick Clinton Fenner, MD | |
|
3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | |
| (630) 719-4799 | |
| Not Available |
| Full Name | Dr Patrick Clinton Fenner |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 36 Years |
| Location | 3825 Highland Ave, Downers Grove, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588616585 | NPI | - | NPPES |
| 036084061 | Medicaid | IL | |
| 060069163 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036084061 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Central Dupage Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723 |
| Entity Name | Elmhurst Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548306343 PECOS PAC ID: 3577458009 Enrollment ID: O20040216000346 |
| Entity Name | Edward Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Clinton Fenner, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Dr Patrick Clinton Fenner, MD 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 Ph: (630) 719-4799 |
Hajira Younas Khan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5207 Main St, Downers Grove, IL 60515 Phone: 630-435-9888 Fax: 630-963-1524 | |
Peter Michael Kerwin, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515 Phone: 630-719-4799 | |
Stephen Michael Rowley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515 Phone: 630-719-4799 | |
Dr. Anil Vamsi Doppalapudi, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave Ste 3d, Downers Grove, IL 60515 Phone: 630-964-7006 Fax: 630-964-7082 | |
Mark J. Tatara, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6840 Main St Ste 200, Downers Grove, IL 60516 Phone: 630-869-5382 Fax: 630-869-5383 | |
Dr. Weiser Eguia Cordero, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5207 Main St, Downers Grove, IL 60515 Phone: 630-435-9888 Fax: 630-963-1524 | |
Iva Minga, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave Fl Tower24, Downers Grove, IL 60515 Phone: 630-719-4799 Fax: 630-963-7420 |