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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE W FONDRIEST, MD

Active

DIANE W FONDRIEST, MD is a Pediatrics healthcare provider located in LAKE FOREST, Illinois. NPI 1568457554 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · LAKE FOREST, IL

Registration Details

NPI Number
1568457554
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2005 (20.878927514562 yrs)
Last Updated
Apr 18, 2024
License
036065837 (IL)

Practice Information

Address
900 N WESTMORELAND RD
SUITE 106
LAKE FOREST, IL, 600451674
Browse IL providers · Browse ZIP 60045
Phone
8476154654
Fax
8476151708
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in LAKE FOREST, IL

Name Credential NPI
DR. DEBORAH M MARGULIS MD 1467446229
SHERI ROSS MD 1366437352
DAVID SALTZMAN MD 1770578775
MELANIE E GOODELL MD 1144215146
SUSAN SHEINKOP MD 1881689875
DEBORAH GAIL GULSON MD 1952396962
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.