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NPI 1811998438 · Geriatric Medicine (Internal Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1811998438
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Fessenden, Chief Medical Officer(615) 401-4634
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1340 S Damen Ave
Suite 210
Chicago, IL 60608-1169
Phone: (773) 292-4800
Fax: (773) 384-7053
Street-level locationGet directions
Mailing address
1340 S Damen Ave Ste 400
Chicago, IL 60608-1169
Registry dates
- Enumerated
- 2005-08-04
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.