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NPI Code Detail

MEDICARE: DR. CHRISTOPHER RAHUL FERNANDES M.D.

MEDICARE: DR. CHRISTOPHER RAHUL FERNANDES 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
1207R00000XInternal Medicine Physician036148709IL
2208M00000XHospitalist Physician036148709IL

General Provider Information

NPI Number : 1467808162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER RAHUL FERNANDES M.D.
Provider Business Mailing Address
First Line : 180 HARVESTER DR
Second Line : SUITE 110
City : BURR RIDGE
State : IL
Zip : 60527-7594
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 2525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2332
Country : US
Telephone Number : 312-567-4652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 03/05/2025

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