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

Dr. Mitchell Fagan, DO

Individual provider Emergency Medicine Physician · NPI 1134851538

Dr. Mitchell Fagan, DO is an Emergency Medicine in Chicago, Illinois. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2022, 4 years ago. Practices with Rockford Emergency Physicians, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1750 W Harrison St Ste 108
Chicago, IL 60612-3825
Phone: (312) 942-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.079694 (IL)

Record details

NPI number1134851538
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESJune 26, 2022
Certification dateJune 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2022 (4 years in practice)
Group practice Rockford Emergency Physicians, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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