Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane W Fondriest, MD

Individual provider Pediatrics Physician · NPI 1568457554

Diane W Fondriest, MD is a Pediatrics Physician in Lake Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

900 N Westmoreland Rd Ste 106
Lake Forest, IL 60045-1674
Phone: (847) 615-4654
Fax: (847) 615-1708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036065837 (IL)

Record details

NPI number1568457554
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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