DAVID A FETTER M.D.
NPI 1871588186
Specialist in Waukegan, IL

Q: What is David Fetter's NPI number?

The NPI number for David Fetter is 1871588186. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is David Fetter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for David Fetter was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 13, 2005

2626 WASHINGTON ST, WAUKEGAN, IL 60085(847) 599-9500(847) 599-9485 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About David A Fetter M.d. NPPES

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

DAVID A FETTER M.D. (NPI 1871588186) is an individual specialist in Waukegan, Illinois, licensed in Illinois (036057645) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1871588186

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDAVID A FETTERCredential: M.D.

Location Address2626 WASHINGTON STWaukegan, IL 60085-4917

Mailing Address2626 Washington StWaukegan, IL 60085-4917 · (847) 599-9500 · Fax (847) 599-9485

Phone(847) 599-9500

Fax(847) 599-9485

Sole ProprietorYes

Enumeration DateSeptember 13, 2005

Last NPPES UpdateAugust 18, 2010

✔ NPI 1871588186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036057645

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2626 WASHINGTON ST, Waukegan, IL 60085

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Other Identifiers 2

Medicare ID-Type Unspecified225340IL

Medicare UPINC43737IL

Other Providers at the Same Location NPPES 2

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

ADVANCED ORTHOPEDIC & SPORTS INJURY CENTER, LTD.

Specialist

2626 WASHINGTON ST
WAUKEGAN, IL 60085

Lake County (847) 599-9500

MISS BRITTANY KING

Massage Therapist

2626 WASHINGTON ST
WAUKEGAN, IL 60085

Lake County (847) 599-9500

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 David Fetter's NPI number?

The NPI number for David Fetter is 1871588186. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is David Fetter located?

David Fetter practices at 2626 Washington St, Waukegan, IL 60085. The listed phone number is (847) 599-9500.

What is David Fetter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for David Fetter was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.