Mariaelena J. Fagadore in Chicago - Pediatrics
Mariaelena J. Fagadore - NPI 1861490138
Mariaelena J. Fagadore is a Pediatrics in Chicago, Illinois. Mariaelena J. Fagadore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mariaelena J. Fagadore is 1861490138. The last update date is 2017-04-11.
Mariaelena J. Fagadore's current location address is 4254 W 55th St, Chicago, Illinois. You can contact this provider via phone number 7735825200 and fax number 7735822772. The mailing address for Mariaelena J. Fagadore is 4254 W 55th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mariaelena J. Fagadore |
|---|---|
| Address | 4254 W 55th St, Chicago, Illinois |
| Phone Number | 7735825200 |
| Fax Number | 7735822772 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1861490138 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2017-04-11 |
Provider Mailing Address Detail
| Address | 4254 W 55th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606324642 |
| Phone Number | 7735825200 |
| Fax Number | 7735822772 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 9244538 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307963500 | FL | -- | |
| 92187315 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mariaelena J. Fagadore by the Centers for Medicare & Medicaid Services?
The Mariaelena J. Fagadore has been issued the NPI (National Provider Identifier) 1861490138, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mariaelena J. Fagadore's facilities are situated?
The facilities of Mariaelena J. Fagadore are physically located at the following address: 4254 W 55Th St, Chicago, IL, 606324642.
What is Mariaelena J. Fagadore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mariaelena J. Fagadore is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date was the 1861490138 assigned to Mariaelena J. Fagadore?
The Mariaelena J. Fagadore was issued its 1861490138 on 2005-07-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mariaelena J. Fagadore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mariaelena J. Fagadore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-11.