Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID A FETTER, M.D.
Deactivated Sole ProprietorDAVID A FETTER, M.D. is a Specialist healthcare provider located in WAUKEGAN, Illinois. NPI 1871588186 is deactivated in the NPPES registry. Verify at CMS.
Specialist · WAUKEGAN, IL
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1871588186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (0.52876712328767 yrs)
- Last Updated
- Aug 18, 2010
- Deactivated
- Mar 25, 2006
- License
-
036057645 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2626 WASHINGTON STWAUKEGAN, IL, 600854917Browse IL providers · Browse ZIP 60085
- Phone
- 8475999500
- Fax
- 8475999485
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAANA KRISTIINA AVRAMIDIS | M.D. | 1720075740 |
| BRUCE E SANDS | M.D. | 1073611190 |
| MS. THERESA M MOULTON | LMT | 1790199164 |
| SULAY M ARIAS | — | 1245942598 |
| PAIGE GUIBOURDANCHE | — | 1841074564 |
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.