Thomas H Fendon
Plastic and Reconstructive Surgery
901 Center St Suite 3002
Elgin
, Illinois 60120-2104
Thomas H Fendon
Plastic and Reconstructive Surgery
901 Center St Suite 3002
Elgin
, Illinois 60120-2104
(847) 531-6344
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Thomas H Fendon
- 901 Center St Suite 3002
- Elgin, IL
- Zip : 60120-2104
- Fax : (847) 531-6344
- Phone : (847) 531-6340
Second Address
- Thomas H Fendon
- 901 Center St Suite 3002
- Elgin, IL
- Zip : 60120-2104
- Fax : (847) 531-6344
- Phone : (847) 531-6340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036074699 | IL |
National Provider Identifier
| NPI | 1225124910 |
|---|---|
| Provider Name | Thomas H Fendon |
| First Address | Elgin, IL 60120-2104 |
| Second Address | Elgin, IL 60120-2104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 12/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.