Fortunato, John Edward

Fortunato, John Edward is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Fortunato, John Edward can be contacted via phone (312) 227-4200.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611
Phone: (312) 227-4200
Fax: (312) 227-9392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2006-00442 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036096126 Illinois

Profile Details

NPI number 1477511541
LBN Legal business name Fortunato, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 22nd, 2018 - about 7 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 1477511541 NPPES
Other 188686 MEDCOST
Other 808511 MEDCOST
Other 7423644 MEDCOST
MEDICAID 5904588 MEDCOST
MEDICAID 10409276 MEDCOST
MEDICAID 3810007095 MEDCOST
Other 7423644 MEDCOST

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