Individual
DR. JOSEPH P FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
405 N WABASH AVE, #2608, CHICAGO, IL 60611-5670
(312) 828-0541
Mailing address
405 N WABASH AVE, #2608, CHICAGO, IL 60611-5670
(312) 828-0541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004539
IL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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