/Maureen Elizabeth Fernandez

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2 Olympus Dr
Tinley Park, IL 60477-4827

Phone

(708) 614-7178

Fax

(708) 429-5868

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Horizon Therapy LLC

  • Occupational Therapist
  • Tinley Park, IL
  • NPI 1528023074
  NPD (past)
• Joseph Rehabilitation Center, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Tinley Park, IL
  • NPI 1316187446
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1457540163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 W NUALA LN",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033651",
            "telephone_number": "708-385-2083",
            "fax_number": "708-385-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLYMPUS DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774827",
            "telephone_number": "708-614-7178",
            "fax_number": "708-429-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "/MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractic Health Care Center PC
• Family Dental Care
• Olalekan Moses Fapohunda, DNP, APN
• Michael Favila, D.O.
• Shaqutia Felder
• Raynieri Fernandez
• Stephanie Renee Fessler, LSW
• Lauren Finno
• Melissa Elizabeth Fino, DPT
• First Encore

• Developmental Therapist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.