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NPI Code Detail

MEDICARE: MICHAEL N FORTSAS MD

MEDICARE:   MICHAEL N FORTSAS  MD
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
1207RC0000XCardiovascular Disease Physician31700WI
2207RC0000XCardiovascular Disease Physician036090812IL

Other Identifiers

General Provider Information

NPI Number : 1497764518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL N FORTSAS MD
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27750 W HIGHWAY 22 STE 220
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-1924
Country : US
Telephone Number : 815-206-5700
Fax Number : 847-382-1771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 04/24/2025

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Directions to “ MICHAEL N FORTSAS MD” Practice Location

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