Individual
FABIO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6810 N. MCCORMICK BLVD., LINCOLNWOOD, IL 60712
(847) 933-1773
(847) 679-1505
Mailing address
2650 RIDGE AVE ROOM 1223, SKOKIE, IL 60077-1057
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036065413
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065413
—
IL
Enumeration date
03/21/2007
Last updated
09/12/2018
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