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Contact Information

MARTIN R FETZER, DO
1801 S HIGHLAND AVE STE 220
LOMBARD, IL60148-4932
 Phone: 630-967-2225
 Fax: 630-241-6906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARTIN R FETZER · (Male)

NPI Number 1649499476
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/24/2007
Last updated 08/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036129085
  • MI License # 5101017042
  • PA License # OS014454
  • IL Medicaid 036129085
Hospital affiliation(s) Not Available
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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