Individual
MICHAEL N FORTSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27750 W HIGHWAY 22 STE 220, BARRINGTON, IL 60010-1924
(815) 206-5700
(847) 382-1771
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036090812
IL
207RC0000X
Cardiovascular Disease Physician
31700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090812
—
IL
05
—
82223400
—
WI
Enumeration date
08/07/2006
Last updated
04/24/2025
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