Individual
CARLOS M FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-3300
(773) 296-3304
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036052857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36052857
—
IL
Enumeration date
08/05/2006
Last updated
02/13/2025
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