MR. LUIS VICTOR FERNANDEZ


Address: 2410 Sampson St, Great Lakes, IL 60088-2942
Phone: 8476882469

MR. LUIS VICTOR FERNANDEZ (NPI# 1144588039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144588039
Entity Type Individual
Full Name MR. LUIS VICTOR FERNANDEZ
Practice Address 2410 Sampson St
Great Lakes
IL 60088-2942
Mailing Address 2410 Sampson St.
Bldg 237
Great Lakes
IL 60088
Practice Telephone 8476882469
Mailing Telephone 8476882469
Enumeration Date 2012-04-27
Last Update Date 2012-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers LUIS FERNANDEZ

NPI Name Taxonomy Address Enumeration
1063866234 Luis Enrique Fernandez General Practice Carretera 2 Km 39.50, Hospital Wilma N. Vazquez, Vega Baja, PR 00963 2016-04-14
1881797686 Luis Beltran Fernandez Radiology 414 Vanderbilt Ave Ph, Brooklyn, NY 11238-1505 2006-09-07
1144258583 Luis Cesar Fernandez Pediatrics Nunez Romeu, #51, Cayey, PR 00736 2006-06-28
1023071172 Luis Fernandez Psychologist 14935 Sw 23rd Ln, Miami, FL 33185-5881 2006-04-10
1104449693 Luis Fernandez Social Worker 8685 S Eastern Ave, Las Vegas, NV 89123-2839 2020-05-19
1801456769 Luis Fernandez Behavior Technician 501 E Harvard St, Glendale, CA 91205-1114 2019-06-13
1700344900 Luis Fernandez Behavioral Analyst 12395 Lewis St Ste 202, Garden Grove, CA 92840-4694 2019-03-06
1932603461 Luis Guillermo Fernandez IIi Neurological Surgery 251 East Huron Street, Chicago, IL 60611 2018-03-20
1295187946 Luis Fernandez Behavioral Analyst 4417 E Colonial Dr, Orlando, FL 32803 2016-07-06
1447632419 Luis Guillermo Fernandez Physical Therapist 5021 W 6th Ave, Hialeah, FL 33012-3833 2015-06-25

Office Location

Street Address 2410 SAMPSON ST
City GREAT LAKES
State IL
Zip Code 60088-2942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366431504 Deborah Jeanne Galen General Practice 2410 Sampson St, Fisher Clinic, Bldg 237, Great Lakes, IL 60088-2942 2005-10-20
1407466337 Kandis Carter Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1346850260 Peter Yao Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1437769361 Gabriel Casias Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2020-08-05
1225690670 Jin Wung Hwang Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-07-07
1821658501 Marin Rhea Lehman Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-06-16
1043878358 Shannan Jesse Walker Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2019-05-31
1780160556 Clinton Bissell Butler IIi Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2018-07-16
1942786710 Joseph Phillip Yancho Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2018-07-16
1174049704 Justin Paz Dentist 2410 Sampson St, Great Lakes, IL 60088-2942 2017-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1134598733 True Xiong Dentist Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 2015-09-24
1447685771 Lisa Carol Perrone Dentist Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 2013-09-05
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215333299 Jonathan Ramonbeebe Military Health Care Provider 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 2014-11-18
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1497917876 Scott David Arnold Military Health Care Provider 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911 2008-06-27
1184883688 Michael Paul Coffman Military Health Care Provider 601 D Street, Great Lakes, IL 60088-2822 2008-06-09
1184809048 Rodolfo Pineda Manansala Military Health Care Provider 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 2008-01-09
1346454808 Joseph Thomas Minich Military Health Care Provider 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2007-05-10
1679786057 James R Butts Military Health Care Provider 329 Dewy Ave, Great Lakes, IL 60088 2007-05-08
1205891256 Jose Alfredo Nicola Military Health Care Provider Naval Health Clininc Great Lakes, Branch Medical Clinic 1007 Uss Tranquility, Great Lakes, IL 60088 2006-04-20
1205804242 Rodger M Howard Military Health Care Provider 3420 Illinois Street Bldg 1007, Great Lakes, IL 60088 2006-03-08
1699046482 James Albert Shumaker Sr. Military Health Care Provider 2430 Illinois Street, 1007 Uss Tranquillity, Great Lakes, IL 60088-4209 2012-01-25
Find all providers in GREAT LAKES

Competitor

Search similar providers

City GREAT LAKES
Zip Code 60088

Improve Information

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Dataset Information

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.

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