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Contact Information

BRIAN M FAGAN, MD
JOLIET RADIOLOGICAL SERVICES CORP PROVENA ST. JOESPH ME
333 N MADISON ST
JOLIET, IL60435
 Phone: 815-741-7213
 Fax: 815-741-7591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BRIAN M FAGAN · (Male)

NPI # 1831280494
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36107817
Hospital affiliation(s)
  • EDWARD HOSPITAL - (Acute Care)
    801 SOUTH WASHINGTON
    NAPERVILLE, IL 60540
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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