COLLEEN D. FANT MD, MPH – NPI #1891132049
Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

COLLEEN FANT is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1891132049 to COLLEEN FANT on May 29, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PP0204X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 7 years ago on Oct 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLEEN FANT below.

NPI Profile for
COLLEEN D. FANT

NPI Number
1891132049
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COLLEEN D. FANT
Credentials
MD, MPH
Primary location
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone: (800) 543-7362 Fax:
Mailing address
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL
225 EAST CHICAGO AVE
CHICAGO, IL 60611-2991
Phone: (800) 543-7365 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for COLLEEN FANT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036140292
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine (Primary)
IL 036140292
208000000X
- Pediatrics
IL 036140292

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TUFTS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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