Diane W Fondriest, MD - Pediatrics in Lake Forest, IL

Diane W Fondriest, MD is a Pediatrics physician based in Lake Forest, Illinois. Diane W Fondriest is licensed to practice in Illinois (license number 036065837) and her current practice location is 900 N Westmoreland Rd, Suite 106, Lake Forest, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 615-4654.

NPI number for Diane W Fondriest is 1568457554 and her current mailing address is 900 N Westmoreland Rd, Suite 106, Lake Forest, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568457554.

Contact Information

Diane W Fondriest, MD
900 N Westmoreland Rd, Suite 106,
Lake Forest, IL 60045-1674
(847) 615-4654
(847) 615-1708



Physician's Profile

Full NameDiane W Fondriest
GenderFemale
SpecialityPediatrics
Location900 N Westmoreland Rd, Lake Forest, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568457554
  • Provider Enumeration Date: 09/15/2005
  • Last Update Date: 04/18/2024

Medical Identifiers

Medical identifiers for Diane W Fondriest such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568457554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036065837 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane W Fondriest is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diane W Fondriest, MD
900 N Westmoreland Rd, Suite 106,
Lake Forest, IL 60045-1674

Ph: (847) 615-4654
Diane W Fondriest, MD
900 N Westmoreland Rd, Suite 106,
Lake Forest, IL 60045-1674

Ph: (847) 615-4654

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Pediatrics Doctors in Lake Forest, IL

Catherine Wolpert Novas, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 280 S Green Bay Rd, Lake Forest, IL 60045
Phone: 847-235-2510    
Melanie E Goodell, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Suite 106, Lake Forest, IL 60045
Phone: 847-615-0700    Fax: 847-615-1708
Dr. Kristina Keating, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045
Phone: 847-295-1220    Fax: 847-295-1255
Dr. Gerald Lasin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045
Phone: 847-295-1220    Fax: 847-295-1255
Dr. Allen I Krissberg, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045
Phone: 847-295-1220    Fax: 847-295-1255
Sheri Ross, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, 106, Lake Forest, IL 60045
Phone: 847-615-0700    Fax: 847-615-1708
Riley M Minster, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Ste 106, Lake Forest, IL 60045
Phone: 847-615-0700    Fax: 847-615-1708

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