Fenner Plastic Surgery, Ltd
Fenner Plastic Surgery, Ltd provides Plastic Surgery Physician services in Kenilworth, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
512 Green Bay RdKenilworth, IL 60043-1073
Phone: (847) 716-2400
Fax: (847) 716-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 036081864 (IL) |
|---|
Record details
| NPI number | 1316194285 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geoffrey Fenner — Physician/Owner · (847) 716-2400 |
| NPI enumerated | August 22, 2008 |
| Last updated in NPPES | October 29, 2020 |
| Certification date | October 29, 2020 |
| Mailing address | 512 Green Bay Rd, Kenilworth, IL 60043-1073 |
Other providers in Kenilworth
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Geoffrey C Fenner, MD
512 Green Bay Rd, Kenilworth, IL 60043 · (847) 716-2400