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Individual

ERIC O FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
909 DAVIS ST, EVANSTON, IL 60201-3683
(847) 982-6710
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 570-5315

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036176697
IL
207Q00000X
Family Medicine Physician
320635
LA

Other

Enumeration date
03/24/2016
Last updated
05/12/2026
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