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NPI Code Detail

MEDICARE: DR. FERNANDO M STRIEDINGER MD

MEDICARE: DR. FERNANDO M STRIEDINGER 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
1207R00000XInternal Medicine Physician036090741IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14932289OTHERILPROVIDER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851483119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO M STRIEDINGER MD
Provider Business Mailing Address
First Line : 4733 N DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-1442
Country : US
Telephone Number : 773-878-6060
Fax Number : 773-878-7858
Provider Business Practice Location Address
First Line : 4733 N DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-1442
Country : US
Telephone Number : 773-878-6060
Fax Number : 773-878-7858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 01/22/2014

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