Individual
DR. EDUARDO FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1801 W TAYLOR ST, OCC-3F, CHICAGO, IL 60612
(312) 355-1493
Mailing address
840 S WOOD ST STE 435E, CHICAGO, IL 60612-4325
(312) 355-1493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.148378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.148378
—
IL
Enumeration date
07/17/2012
Last updated
03/14/2019
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