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NPI Code Detail

MEDICARE: DR. LOUIS FERNANDEZ M.D.

MEDICARE:  DR. LOUIS  FERNANDEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036-089058IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760480362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS FERNANDEZ M.D.
Provider Business Mailing Address
First Line : 6101 N SHERIDAN RD
Second Line : SUITE 19A EAST
City : CHICAGO
State : IL
Zip : 60660-2870
Country : US
Telephone Number : 773-852-4331
Fax Number :
Provider Business Practice Location Address
First Line : 6101 N SHERIDAN RD
Second Line : SUITE 19A EAST
City : CHICAGO
State : IL
Zip : 60660-2870
Country : US
Telephone Number : 773-852-4331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/17/2008

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Directions to “ DR. LOUIS FERNANDEZ M.D.” Practice Location

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