IndividualActive
Richard Fantus, MD
NPI 1457383697 · Surgical Critical Care Physician · Chicago, IL
Provider details
- NPI number
- 1457383697
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036064949 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 296-7033
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.