Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R FASSL, MD
ActiveFamily Medicine · MERRIONETTE PARK, IL
Registration Details
- NPI Number
- 1477173664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2020 (6.0628037634994 yrs)
- Last Updated
- Oct 11, 2023
- License
-
036-165936 (IL)
Practice Information
- Address
-
11600 S KEDZIE AVEMERRIONETTE PARK, IL, 608036307Browse IL providers · Browse ZIP 60803
- Phone
- 7082724150
- Fax
- 7082290696
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MERRIONETTE PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT JOSEPH BONK | D.O. | 1609894690 |
| DR. TIMOTHY E KNOX | M.D. | 1700974821 |
| DR. SARWAT SHAHEEN | M.D | 1710252465 |
| SABA KHAN | MD | 1780172064 |
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.