Fabio Ortega MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

336029781 Issued in IL

Legal business name

FABIO ORTEGA MD SC

Doing business as

Fabio Ortega MD SC

Practice address

9933 Lawler Ave
Suite 409
Skokie, IL 60077

Phone

(847) 679-3200

Fax

(847) 679-4631

NPI assigned

Oct 7, 2008

Last updated

Mar 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fabio Ortega, MDNPI 1215053517

Title

President

Phone

(847) 679-3200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FABIO ORTEGA MD SC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fabio Ortega, M.D.

  • Obstetrics & Gynecology Physician
  • Lincolnwood, IL
  • NPI 1215053517
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1114178217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 409",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-679-3200",
            "fax_number": "847-679-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 409",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-679-3200",
            "fax_number": "847-679-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIO ORTEGA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "FABIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "336029781",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036065413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065413",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "31601691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FABIO ORTEGA MD SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.