NPI 1023472883

Erik Fossen

Practitioner Emergency Medicine Physician Park Ridge, IL

Practice location

Address: 1775 Dempster St, Park Ridge, IL 60068-1143
Phone: (847) 723-5150
Fax: (847) 723-2083
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 036147277 (IL)

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1023472883
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2016
Record last updated: 27 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.