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

Dr. Marc Fagan, PSYD

Individual provider Psychologist · NPI 1730626011

Dr. Marc Fagan, PSYD is a Psychologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4101 N Ravenswood Ave
Chicago, IL 60613
Phone: (773) 572-5402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071.006654 (IL)

Record details

NPI number1730626011
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJanuary 25, 2017

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