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MICHAEL L FESSENDEN M.D.
NPI 1023013638
Family Medicine in Chicago, IL

Active since June 20, 2005
2003 W FULTON ST, 3RD FLOOR, CHICAGO, IL 60612(773) 292-4800(773) 486-3548 Get Directions Write a Review

NPPES record last updated: July 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael L Fessenden M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL L FESSENDEN M.D. (NPI 1023013638) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (36118835) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1023013638
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL L FESSENDENCredential: M.D.
Location Address2003 W FULTON ST, 3RD FLOORChicago, IL 60612-2345
Mailing Address2003 W Fulton St, 3rd FloorChicago, IL 60612-2345 · (773) 292-4800 · Fax (773) 486-3548
Phone(773) 292-4800
Fax(773) 486-3548
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 15, 2007
✔ NPI 1023013638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 36118835✔ Licensed in MD · D66365✔ Licensed in WI · 43269-020✔ Licensed in ND · 8219✔ Licensed in MO · 2003016360
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2003 W FULTON ST, Chicago, IL 60612
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Other Identifiers 2

Medicare UPING94035
Medicare ID-Type UnspecifiedP36C508

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ALICEA MATOS R.D.
Dietitian, Registered
2003 W FULTON ST, SUITE 105
CHICAGO, IL 60612
Cook County (312) 850-3438
SASHA JUNE R.D.
Dietitian, Registered
2003 W FULTON ST, STE 105
CHICAGO, IL 60612
Cook County (312) 850-3438
ALISON MUSARACA RDN, LDN
Dietitian, Registered
2003 W FULTON ST
CHICAGO, IL 60612
Cook County (312) 850-3438
NICOLE M LEAHY PA-C
Physician Assistant
2003 W FULTON ST
CHICAGO, IL 60612
Cook County (312) 243-2223
DR. MARY ANN KAMINSKI PHARMD, BCACP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2003 W FULTON ST, 402
CHICAGO, IL 60612
Cook County (312) 202-3500
CHARLOTTE GAMBLA
Dietitian, Registered
2003 W FULTON ST
CHICAGO, IL 60612
Cook County (312) 850-3438
MR. CARL V KNUTSEN R.PH.
Pharmacist
2003 W FULTON ST, SUITE 401
CHICAGO, IL 60612
Cook County (312) 222-8020
SUSAN PUSH RDNLDN
Dietitian, Registered
2003 W FULTON ST
CHICAGO, IL 60612
Cook County (312) 850-3438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fessenden's NPI number?

The NPI number for Michael Fessenden is 1023013638. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Michael Fessenden located?

Michael Fessenden practices at 2003 W Fulton St 3rd Floor, Chicago, IL 60612. The listed phone number is (773) 292-4800.

What is Michael Fessenden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Fessenden was last updated on July 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.