Fernandez, Louis

Fernandez, Louis is an individual health care provider with primary practice located at 6101 N Sheridan Rd Suite 19A East, Chicago IL 60660-2870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fernandez, Louis can be contacted via phone (773) 852-4331.

Contact Information

Primary practice address
6101 N Sheridan Rd Suite 19A East Chicago IL 60660-2870
Phone: (773) 852-4331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-089058 Illinois

Profile Details

NPI number 1760480362
LBN Legal business name Fernandez, Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Sep 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760480362 NPPES
Illinois MEDICAID 036089058

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