Annette Fontanez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12180356 Issued in IL

Practice address

7900 N Milwaukee Ave Ste 18
Niles, IL 60714-3165

Phone

(847) 663-9700

Fax

(847) 663-9702

NPI assigned

Jan 7, 2019

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Oak Mill Medical Associates SC

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1295882876
  Medicare reassignment NPD

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1508339086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 18",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143165",
            "telephone_number": "847-663-9700",
            "fax_number": "847-663-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 18",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143165",
            "telephone_number": "847-663-9700",
            "fax_number": "847-663-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "ANNETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F12180356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Finnegan
• Shira Fishbach, MD
• Candice Fleischmann, M.S., CCC-SLP/L
• Cynthia S. Flosi, PT, DPT
• Tina Folwarczny, COTA/L
• Food Foundations LLC
• Scott B Ford, O.D.
• Forest Villa Nursing and Rehabilitation Center, LLC (Avanti Wellness and Rehabilitation)
• Forest Villa Rehabilitation and Nursing Center
• Fourthebest LLC

• Family Nurse Practitioner in Niles, IL
• Providers in Niles, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.