Individual provider · Type 1 NPI

Michael Gregory Fazio, DO

Diagnostic Radiology Physician · Belleville, IL

NPI number 1811123433 Active

Practice location

4500 Memorial Dr, Dept Radiology
Belleville, IL 62226-5360

Call (618) 257-5613 Map

Fax (314) 454-4641

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036151550 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1811123433

Michael Gregory Fazio, DO's National Provider Identifier is 1811123433, issued on Jun 10, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Belleville, IL. The record was last updated on Oct 21, 2025.