BRENT T. FONNER

AURORA, IL
NPI1477555308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: IL  036088383)
Enumeration Date2005-08-11
Last Update Date2008-05-13
Business Address
BRENT T. FONNER M.D.
PROVENA MERCY MEDICAL CENTER / PATHOLOGY DEPARTMENT 1325 NORTH HIGHLAND AVENUE
AURORA, IL 60506
Phone number: 630-859-2222
Mailing Address
BRENT T. FONNER M.D.
520 E 22ND ST
LOMBARD, IL 60148-6110
Phone number: 630-874-2542
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