Fenner Plastic Surgery, Ltd.
NPI 1316194285ActiveOrganization· Plastic Surgery· Kenilworth, IL
Plastic Surgery in Kenilworth, Illinois, registered in NPPES in August 2008. The authorized official on file is Geoffrey Craig Fenner, M.D., Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316194285 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2008 |
| Last updated in NPPES | Oct 29, 2020 |
| Certified by provider | Oct 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 036081864 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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