Active NPI
John Harry Fournier, MD
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1962457341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036041702
- Practice address
- 5201 N Harlem Ave
Chicago, IL 60656 - Phone
- (773) 774-2102
- Fax
- (773) 774-3581
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036041702 | IL | Primary |
Addresses
Primary practice location
5201 N Harlem Ave
Chicago, IL 60656
Mailing address
5201 N Harlem Ave
Chicago, IL 60656
Phone (773) 774-2102
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036041702 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1962457341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60656",
"telephone_number": "773-774-2102",
"fax_number": "773-774-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60656",
"telephone_number": "773-774-2102",
"fax_number": "773-774-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "JOHN",
"middle_name": "HARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036041702",
"primary": true
}
],
"identifiers": [],
"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 May 20, 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.