Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIN ELIZABETH FANCHER GAGEN, MD
Active Sole ProprietorERIN ELIZABETH FANCHER GAGEN, MD is a Family Medicine healthcare provider located in TRENTON, Illinois. NPI 1184657090 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TRENTON, IL
Registration Details
- NPI Number
- 1184657090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2006 (19.959837141289 yrs)
- Last Updated
- Jul 8, 2007
- License
-
036113295 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 E BROADWAYTRENTON, IL, 622931663Browse IL providers · Browse ZIP 62293
- Phone
- 6182247000
- Fax
- 6182247750
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.