Risha Fennell, MD

Individual Active
NPI 1487622379
Addiction Medicine (Family Medicine) Physician Springfield, IL

Risha Fennell, MD holds NPI 1487622379, with a primary taxonomy of addiction medicine (family medicine) physician and a practice location in Springfield, IL. The number was issued on March 8, 2006 and the NPPES record was last updated on June 7, 2024. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X 036100518 (IL)
Family Medicine Physician 207Q00000X 036100518 (IL)

Practice locations

2501 Chatham Rd Ste 4713
Springfield, IL 62704-4188
Phone: (779) 429-2227
1096 1350th St
Lincoln, IL 62656-5094
Phone: (217) 735-5581

Local context

Active NPPES records list 1 provider with addiction medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 37 in Illinois and 1,636 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Risha Raven Fennell
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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