DR. ROBERT A FAJARDO (NPI# 1275617383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275617383 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A FAJARDO |
| Credential | MD |
| Practice Address |
122 So Michigan Ave #1413 Chicago IL 60603 |
| Practice Telephone | 3129226071 |
| Practice Fax Number | 3129225656 |
| Mailing Telephone | 3129226071 |
| Mailing Fax Number | 3129225656 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
03639990 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC + BS | 21601162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194789750 | Robert R Fajardo | Physician Assistant | 2 W. Fern Ave., Redlands, CA 92373-5916 | 2006-04-12 |
| Street Address |
122 SO MICHIGAN AVE #1413 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1609352517 | Dawn Marie Seich | Nurse Practitioner | 190 S Lasalle #2130, Chicago, IL 60603 | 2018-07-13 |
| 1962869396 | Claire Kacena | Chiropractor | 10 S. Lasalle, Ste 1110, Chicago, IL 60603 | 2016-01-15 |
| 1588043251 | Thresholds | Clinic/Center | 120 South Lasalle Street, Suite 1410, Chicago, IL 60603 | 2015-05-27 |
| 1508273863 | Dr. Jeffrey Jones D.c. Inc. | Chiropractor | 19 S. Lasalle St., Suite 503, Chicago, IL 60603 | 2014-07-18 |
| 1942614730 | Devan Mark Hite | Counselor | 8 S Michigan Ave Ste 618, Chicago, IL 60603 | 2014-06-19 |
| 1265846604 | Jeffrey Jones | Chiropractor | 19 S Lasalle St, 503, Chicago, IL 60603 | 2014-06-13 |
| 1225469208 | Amy Kelly | Marriage & Family Therapist | 67 E Madison St # 1421, Chicago, IL 60603 | 2013-12-02 |
| 1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
| Find all providers in zip 60603 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| Find all providers in CHICAGO | ||||
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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.