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DIANE W FONDRIEST MD
NPI 1568457554
Pediatrics in Lake Forest, IL

Active since September 15, 2005
900 N WESTMORELAND RD, SUITE 106, LAKE FOREST, IL 60045(847) 615-4654(847) 615-1708 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Diane W Fondriest Md NPPES

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

DIANE W FONDRIEST MD (NPI 1568457554) is an individual pediatrics provider in Lake Forest, Illinois, licensed in Illinois (036065837) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1568457554
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIANE W FONDRIESTCredential: MD
Location Address900 N WESTMORELAND RD, SUITE 106Lake Forest, IL 60045-1674
Mailing Address900 N Westmoreland Rd, Suite 106Lake Forest, IL 60045-1674 · (847) 615-4654 · Fax (847) 615-1708
Phone(847) 615-4654
Fax(847) 615-1708
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1568457554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036065837
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
900 N WESTMORELAND RD, Lake Forest, IL 60045
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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.

LAKE SHORE PEDIATRICS, LTD
Pediatrics
900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045
Lake County (847) 615-4654
TANNER L COLEGROVE M.D.
Obstetrics & Gynecology
900 N WESTMORELAND RD, SUITE # 207
LAKE FOREST, IL 60045
Lake County (847) 234-9110
MELISSA HILB CPNP
Nurse Practitioner (Pediatrics)
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Lake County (847) 295-1220
NORTH SHORE RHEUMATOLOGY
Internal Medicine (Rheumatology)
900 N WESTMORELAND RD, SUITE 222
LAKE FOREST, IL 60045
Lake County (847) 234-6121
DR. DENISE VERGES MD
Internal Medicine (Rheumatology)
900 N WESTMORELAND RD, SUITE 222
LAKE FOREST, IL 60045
Lake County (847) 234-6121
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Optometrist
900 N WESTMORELAND RD, LOWER LEVEL 88
LAKE FOREST, IL 60045
Lake County (847) 295-0001
JHAN CARLO FONTANILLA DPT
Physical Therapist
900 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 535-6418
DR. REBECCA E JACOBSON MD
Obstetrics & Gynecology
900 N WESTMORELAND RD, STE 228
LAKE FOREST, IL 60045
Lake County (847) 234-3860

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 Diane Fondriest's NPI number?

The NPI number for Diane Fondriest is 1568457554. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Diane Fondriest located?

Diane Fondriest practices at 900 N Westmoreland Rd Suite 106, Lake Forest, IL 60045. The listed phone number is (847) 615-4654.

What is Diane Fondriest's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Diane Fondriest was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.