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Michael R Fassl, MD
Family Medicine Physician in Merrionette Park, Illinois
NPI 1477173664

Michael R Fassl is a Family Medicine Physician based in Chicago, IL. Michael R Fassl practices in Merrionette Park, IL and has the professional credentials of MD. The NPI Number for Michael R Fassl is 1477173664 and holds a License No. (Illinois).

The current practice location address for Michael R Fassl is 11600 S Kedzie Ave, Merrionette Park, IL and can be reached out via phone at 708-272-4150 and via fax at 708-229-0696.

Location: 11600 S Kedzie Ave, Merrionette Park, IL, 60673-1293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477173664
Provider Name
Michael R Fassl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11600 S Kedzie Ave, Merrionette Park, IL, 60673-1293
Phone Number
708-272-4150
Fax Number
708-229-0696
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-165936 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
11600 S Kedzie Ave
City
Merrionette Park
State
Illinois
Zip
60803-6307
Phone Number
708-272-4150
Fax Number
708-229-0696
person
Provider Business Mailing Address Details
Address
11600 S Kedzie Ave
City
Merrionette Park
State
Illinois
Zip
60803-6307
Phone Number
708-272-4150
Fax Number
708-229-0696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-165936 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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