MARTIN G FORTIER (NPI# 1023012077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023012077 |
| Entity Type | Individual |
| Full Name | MARTIN G FORTIER |
| Credential | MD |
| Practice Address |
199 S Addison Rd Ste 105-106 Wood Dale IL 60191-1534 |
| Practice Telephone | 6307661552 |
| Practice Fax Number | 6307664220 |
| Mailing Telephone | 6307661552 |
| Mailing Fax Number | 6307664220 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036062647 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 02222753 | 01 |
| Street Address |
199 S ADDISON RD STE 105-106 |
| City | WOOD DALE |
| State | IL |
| Zip Code | 60191-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416014 | George K. Michalopoulos | Chiropractor | 199 S Addison Rd, Ste 105-106, Wood Dale, IL 60191-1534 | 2005-06-08 |
| 1386040681 | Michael Nathan Drzewiecki | Chiropractor | 199 S Addison Rd, #106, Wood Dale, IL 60191-1929 | 2014-11-13 |
| 1801203120 | Linda M Hill | Massage Therapist | 199 S Addison Rd, #106, Wood Dale, IL 60191-1929 | 2014-07-18 |
| 1477960896 | Andrea Reyes | Massage Therapist | 199 S Addison Rd, Wood Dale, IL 60191-1929 | 2014-07-17 |
| 1407111479 | Pathology, Inc. | Clinical Medical Laboratory | 199 S Addison Rd, Suite 103, Wood Dale, IL 60191-1929 | 2012-07-05 |
| 1043570005 | Illinois Neuro & Physical Rehabilitation Ltd | Chiropractor | 199 S Addison Rd, Ste. 105, Wood Dale, IL 60191-1929 | 2012-05-24 |
| 1780956813 | Adventist Health Partners, Inc | Obstetrics & Gynecology | 199 S Addison Rd, Suite 108, Wood Dale, IL 60191-1929 | 2012-02-06 |
| 1962632877 | Adventist Health Partners, Inc | Family Medicine | 199 S Addison Rd, Suite 108, Wood Dale, IL 60191-1929 | 2009-07-27 |
| 1306016530 | Molecular Imaging of Wood Dale, LLC | Clinic/Center | 199 S Addison Rd, Ste 107b, Wood Dale, IL 60191-1929 | 2008-03-04 |
| 1750597811 | Yasmeen Ansari | Family Medicine | 199 S Addison Rd, Suite 108, Wood Dale, IL 60191-1929 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402425 | Linda Jenig | Taxi | 230 Thomas Drive, 10000 Dale, IL 60191 | 2018-10-04 |
| 1023412913 | Nell N Griffin | Licensed Practical Nurse | 473 Jeanne Court, Apartment 3, Wood Dale, IL 60191 | 2014-10-21 |
| 1467881086 | Norma Barajas | Interpreter | 309 Charmille Lane, Wood Dale, IL 60191 | 2013-11-04 |
| 1013283985 | Donald C. Kellner Dds-wood Dale PC | Dentist | 333 North Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2012-03-26 |
| 1326299892 | Dr. Donald Kellner & Associates | Dentist | 333 N. Wood Dale Rd., Wood Dale, IL 60191 | 2008-10-02 |
| 1235337841 | Wood Dale Dental Ltd | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2007-07-05 |
| 1457552044 | Lyra Repplinger | Developmental Therapist | 180 Hansen Court, Wood Dale, IL 60191 | 2007-05-30 |
| 1033289855 | Qirjako Kirk Hoda | Chiropractor | 404 W Irving Park Road, Suite #1, Wood Dale, IL 60191 | 2006-11-09 |
| 1881783199 | Dominic J Tolitano, Md Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 311 N. Walnut Ave, Suite 100, Wood Dale, IL 60191 | 2006-10-12 |
| 1417058405 | Donald Craig Kellner | Dentist | 333 N Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2006-09-25 |
| Find all providers in zip 60191 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588156541 | Center for Vein Restoration Il LLC | Emergency Medicine | 236 E Irving Park Rd, Wood Dale, IL 60191-2099 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.