Individual
JOYCE CHRISTINA FORTUNA IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3215
Mailing address
2800 N LAKE SHORE DR, SUITE 3710, CHICAGO, IL 60657-6232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036123308
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036123308
IL
Other
Enumeration date
09/17/2008
Last updated
12/03/2015
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