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Dr. Risha Raven Fennell, MD
Addiction Medicine (Family Medicine) Physician in Springfield, Illinois
NPI 1487622379

Risha Raven Fennell is an Addiction Medicine (Family Medicine) Physician based in Normal, IL and is specialized in Addiction Medicine. Risha Raven Fennell practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Risha Raven Fennell is 1487622379 and holds a License No. 036100518 (Illinois).

The current practice location address for Risha Raven Fennell is 2501 Chatham Rd Ste 4713, Springfield, IL and can be reached out via phone at 779-429-2227.

Location: 2501 Chatham Rd Ste 4713, Springfield, IL, 61761-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487622379
Provider Name
Risha Raven Fennell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2501 Chatham Rd Ste 4713, Springfield, IL, 61761-1803
Phone Number
779-429-2227
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036100518 05 IL
institution
Provider Business Practice Location Address Details
Address
2501 Chatham Rd Ste 4713
City
Springfield
State
Illinois
Zip
62704-4188
Phone Number
779-429-2227
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Chatham Rd Ste 4713
City
Springfield
State
Illinois
Zip
62704-4188
Phone Number
779-429-2227
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036100518 (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
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
036100518 (Illinois)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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