Active NPI
Louis Fernandez, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1760480362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-089058
- Practice address
- 6101 N Sheridan Rd
Suite 19a East
Chicago, IL 60660-2870 - Phone
- (773) 852-4331
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-089058 | IL | Primary |
Addresses
Primary practice location
6101 N Sheridan Rd
Suite 19a East
Chicago, IL 60660-2870
Mailing address
6101 N Sheridan Rd
Suite 19a East
Chicago, IL 60660-2870
Phone (773) 852-4331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089058 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089058 | IL | MD | Obstetrics & Gynecology Physician |
| J5320 | TX | MD | Trauma Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1760480362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 N SHERIDAN RD",
"address_2": "SUITE 19A EAST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606602870",
"telephone_number": "773-852-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 N SHERIDAN RD",
"address_2": "SUITE 19A EAST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606602870",
"telephone_number": "773-852-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-089058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089058",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.