Individual
DR. LOUIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 N SHERIDAN RD, SUITE 19A EAST, CHICAGO, IL 60660-2870
(773) 852-4331
Mailing address
6101 N SHERIDAN RD, SUITE 19A EAST, CHICAGO, IL 60660-2870
(773) 852-4331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-089058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089058
—
IL
Enumeration date
07/08/2005
Last updated
09/17/2008
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