Individual
DR. RENATO M FONTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N CHILDRENS PLZ # 152, CHICAGO, IL 60614-3363
(773) 880-6903
(773) 880-3068
Mailing address
1524 OVERLOOK DR, GLENVIEW, IL 60025-5162
(847) 729-0638
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-095712
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-095712-3
—
IL
Enumeration date
08/03/2005
Last updated
01/22/2026
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