National Provider Identifier Database

COLLEEN D FANT, MD, MPH – NPI #1891132049
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

COLLEEN D FANT, MD, MPH
225 E CHICAGO AVE
CHICAGO, IL60611-2991
Phone: 800-543-7362
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COLLEEN D FANT

NPI Number 1891132049
Credentials MD, MPH
Entity Individual
Enumeration date 05/29/2013
Last updated 10/04/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036140292
  • IL Medicaid: 036140292
Hospital affiliation n/a

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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