Whalio Doctors

NPI 1649499476

Martin Ryan Fetzer, DO

Practitioner Pain Medicine (Physical Medicine & Rehabilitation) Physician Lombard, IL

Practice location

Address
1801 S Highland Ave STE 220, Lombard, IL 60148-4932
Phone
(630) 967-2225
Fax
(630) 241-6906
Mailing address
PO Box 713260, Chicago, IL 60677-1260

Registered specialties (4)

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 036129085 (IL)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence OS014454 (PA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5101017042 (MI)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036129085 (IL)

Registry record

NPI
1649499476
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Apr 2007
Record last updated
7 Aug 2023

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.