Rene William Fuentes

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

4150 W 55TH St
Chicago, IL 60632-4242

Phone

(312) 747-1020

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1679859714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324242",
            "telephone_number": "312-747-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "RENE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Romulo Fuentes, PA-C
• Consuelo Fuentes, CPNP
• Denise Fuentes, LCSW, CADC
• Harold Fuentes, PSYD
• Lorie Esther Fuentes
• Victor Fuentes
• Ruth Fuerst, MA,LCSW
• Racheal Fuery, LCSW
• Fuerza Within, PLLC
• Valeria Fugali, MD

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.