DIANE W FONDRIEST (MD) – Pediatrics Physician, NPI 1568457554

DIANE W FONDRIEST (MD) is a healthcare provider. based in Lake forest, Illinois. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 036065837 (IL). The NPI Number for DIANE W FONDRIEST (MD) is 1568457554

Main info

Female
Name
DIANE W FONDRIEST (MD)
NPI
1568457554
Phone
(847) 615-4654
Address
900 N WESTMORELAND RD
Enumeration Date
15 September 2005
Last Update Date
18 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DIANE W FONDRIEST (MD)

  • Bays Medical Building, 900, North Westmoreland Road, Lake Forest, Lake County, Illinois, 60045, United States

    SUITE 106

    LAKE FOREST, IL 600451674

    Phone: (847) 615-4654

    Fax: (847) 615-1708

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60045)

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Reviews

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Frequently asked questions

Is DIANE W FONDRIEST (MD) listed with a National Provider Identifier?
Yes — DIANE W FONDRIEST (MD) has NPI 1568457554 on file in the registry.
Is DIANE W FONDRIEST (MD) shown as active in public data?
Registry records indicate DIANE W FONDRIEST (MD) maintains an active NPI.
What kind of doctor is DIANE W FONDRIEST (MD)?
DIANE W FONDRIEST (MD) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DIANE W FONDRIEST (MD)?
Travel planning: use Lake Forest, Illinois as the reference point for DIANE W FONDRIEST (MD), then confirm.
When was this NPI issued?
Enumeration for DIANE W FONDRIEST (MD) is noted as September 15, 2005 where the registry provides it.

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