Individual
KATIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1333 W BELMONT AVE STE 200, CHICAGO, IL 60657-5785
(312) 926-3627
(773) 248-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036161325
IL
Other
Enumeration date
03/27/2019
Last updated
10/21/2022
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