Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAMELA FENNEWALD, MD
ActivePAMELA FENNEWALD, MD is a Gastroenterology healthcare provider located in GURNEE, Illinois. NPI 1912911991 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · GURNEE, IL
Registration Details
- NPI Number
- 1912911991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.06817372942 yrs)
- Last Updated
- Aug 26, 2008
- License
-
036057870 (IL)
Practice Information
- Address
-
731 S ILLINOIS ROUTE 21SUITE 130GURNEE, IL, 600313813Browse IL providers · Browse ZIP 60031
- Phone
- 8475663337
- Fax
- 8478163166
- Primary Specialty
-
Gastroenterology
207RG0300X
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.