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BRIAN FONDREN FNP-C
NPI 1063889210
Nurse Practitioner - Family in Chicago, IL

Active since August 24, 2015
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Fondren Fnp-c NPPES

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

BRIAN FONDREN FNP-C (NPI 1063889210) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.012603) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1063889210
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRIAN FONDRENCredential: FNP-C
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address820 S Damen AveChicago, IL 60612-3728 · (312) 569-8387
Phone(312) 569-8387
Sole ProprietorNo
Enumeration DateAugust 24, 2015
✔ NPI 1063889210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.012603
820 S DAMEN AVE, Chicago, IL 60612
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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.

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

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 Brian Fondren's NPI number?

The NPI number for Brian Fondren is 1063889210. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Brian Fondren located?

Brian Fondren practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Brian Fondren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brian Fondren was last updated on August 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.