Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT T. FONNER, M.D.
ActiveBRENT T. FONNER, M.D. is a Diagnostic Radiology healthcare provider located in AURORA, Illinois. NPI 1477555308 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · AURORA, IL
Registration Details
- NPI Number
- 1477555308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (21.022165669122 yrs)
- Last Updated
- May 13, 2008
- License
-
036088383 (IL)
Practice Information
- Address
-
PROVENA MERCY MEDICAL CENTER / PATHOLOGY DEPARTMENT1325 NORTH HIGHLAND AVENUEAURORA, IL, 60506Browse IL providers · Browse ZIP 60506
- Phone
- 6308592222
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in AURORA, IL
| Name | Credential | NPI |
|---|---|---|
| BERNARD G. SCHUPBACH | M.D. | 1407857287 |
| JOHN M. PLOTKE | M.D. | 1154322857 |
| DR. JAMES D. STUDLO | M.D. | 1407857105 |
| DAVID B. WALLACE | M.D. | 1295736809 |
| HELEN M. KELLETT | M.D. | 1659373587 |
| EDWIN DOLIN | M.D. | 1295737195 |
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.