Jesus D Fernandez

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038014056 Issued in IL

Practice address

245 W Roosevelt Rd Ste 126
West Chicago, IL 60185-4834

Phone

(630) 660-6574

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novo Health & Performance

  • Chiropractor
  • West Chicago, IL
  • NPI 1497521967
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1194503003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD STE 126",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854834",
            "telephone_number": "630-660-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD STE 126",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854834",
            "telephone_number": "630-660-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JESUS",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038014056",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Estrada
• Excell Portable X-Ray Service Inc
• Extremity MRI Specialists Inc
• Family Chiropractic Clinic of West Chicago
• Family Oral Care
• Katie Finnegan, MS, CCC-SLP
• Madeline R Fischer
• Laurel Fisher, MS
• Bridget Fleming
• Joseph J Fornal, DDS

• Chiropractor in West Chicago, IL
• Providers in West Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.