DR. Richard Fagan, MD is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Richard Fagan, MD NPI is 1174150767. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631-707
Phone: (773) 990-5261
The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.