Michael Phillip Fragen, MD

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Practice address

1615 S Norbury Ave
Lombard, IL 60148-6182

Phone

(630) 627-2511

Fax

(847) 510-0505

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245359041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S NORBURY AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486182",
            "telephone_number": "630-627-2511",
            "fax_number": "847-510-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S NORBURY AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486182",
            "telephone_number": "630-627-2511",
            "fax_number": "847-510-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGEN",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurent J Forcioli, D.D.S.
• Peggy Patricia Fornero, PTA
• Holly Joel Forsyth, LCSW
• Emily Rae Forsythe, DNP
• Rayshawna Fox
• Dean A Francis, D.D.S.
• Daisy Franco
• Jennifer Frausto
• Melissa Ann Frausto
• Abigail French, OT

• Sports Medicine (Internal Medicine) Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Sports Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.