GARY RAY FERNANDEZ


Address: 711 W North Ave, Chicago, IL 60610-1174
Phone: 3123371982

GARY RAY FERNANDEZ (NPI# 1265797021) 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) 1265797021
Entity Type Individual
Full Name GARY RAY FERNANDEZ
Credential M.D.
Practice Address 711 W North Ave
Chicago
IL 60610-1174
Practice Telephone 3123371982
Mailing Telephone 3123371982
Enumeration Date 2012-07-09
Last Update Date 2012-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 125-062008 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 711 W NORTH AVE
City CHICAGO
State IL
Zip Code 60610-1174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548210339 Qeena C Woodard Podiatrist 711 W North Ave, Suite 210, Chicago, IL 60610-1174 2006-05-11
1730611898 Daniella Davida Brutman Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2017-03-29
1073963344 Ann Tran Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2016-06-17
1881049583 Kristen Gallagher Obstetrics & Gynecology 711 W North Ave, Chicago, IL 60610-1174 2016-05-01
1215301312 Chicago Bright Smiles Clinic/Center 711 W North Ave, Suite 216, Chicago, IL 60610-1174 2015-11-30
1487028825 Presence Chicago Hospitals Network Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2015-11-23
1043694045 Julieta Lasala Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2015-07-20
1376982777 Jessica Louise Rubino Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2013-06-19
1154765790 George Herman Roepke IIi Family Medicine 711 W North Ave, Suite 209, Chicago, IL 60610-1174 2013-04-25
1851653281 Jia Yu Wang Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2012-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326683145 Roslyn M Jordan Counselor 860 N. Lasalle, Chicago, IL 60610 2019-11-15
1992278196 Deangela Roberson Specialist/Technologist, Other 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 2019-01-10
1477053205 Terri Lynn Tyson Counselor 1250 N. Dearborn St., 18b, Chicago, IL 60610 2018-02-19
1487153797 Jennifer Quinn Social Worker 1200 N. Lasalle Street, Chicago, IL 60610 2018-02-02
1811415334 Erin Conroy Behavioral Analyst 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 2017-09-05
1659898674 Courtney Jane Busing Speech-Language Pathologist 1211 N Lasalle, 903, Chicago, IL 60610 2017-08-30
1528503042 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 908 North State Street, Chicago, IL 60610 2016-12-20
1548702814 Melissa Snyder Counselor 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 2016-11-17
1982146908 Samantha Ruth Slagh Physical Therapist 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 2016-11-08
1891242426 Stephanie Pinsler Counselor 100 W Chestnut, #1907, Chicago, IL 60610 2016-09-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911495 Moataz Barkat Family Medicine 3315 W 66th Pl, Chicago, IL 60629-3427 2020-10-26
1558976589 Jasmine Ashley Fowler Family Medicine 2416 N Lotus Ave, Chicago, IL 60639-1435 2020-09-15
1720699176 Healing Hands Resource Center Streator Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-10
1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
1124645700 Timothy Alan Williams Jr. Family Medicine 1625 E 75th St Fl 1, Chicago, IL 60649-3603 2020-06-30
1194340026 Kaysha Lynne Ribao Family Medicine 2116 S Springfield Ave, Chicago, IL 60623-2465 2020-06-16
1932724341 Toni Kurian Family Medicine 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 2020-06-11
1528689486 Thurman J Robertson Family Medicine 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 2020-05-01
1629697297 Lyndsey Danielle Johnson Family Medicine 2804 W Walton St, Chicago, IL 60622-4450 2020-04-13
1730708884 Iruoma Genevieve Nwangwu Family Medicine 1950 W Polk Street, Chicago, IL 60612-3714 2020-04-09
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Competitor

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City CHICAGO
Zip Code 60610

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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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