MARK FONSECA (NPI# 1396101028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396101028 |
| Entity Type | Individual |
| Full Name | MARK FONSECA |
| Practice Address |
3143 W Jefferson St Joliet IL 60435-4733 |
| Mailing Address |
215 Shuman Blvd Ste 401 Naperville IL 60563-8458 |
| Practice Telephone | 8157446898 |
| Practice Fax Number | 8157442486 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 9783136824 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3016 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346608726 | Mark Alexander Fonseca | Nurse Practitioner | 51 Sw 134th Ct, Miami, FL 33184-1177 | 2016-02-01 |
| Street Address |
3143 W JEFFERSON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073615589 | Stephen Dale Gannaway | Audiologist-Hearing Aid Fitter | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2006-09-04 |
| 1053893974 | Wendy S Blaine | Hearing Instrument Specialist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2018-09-06 |
| 1598173908 | Connect Hearing, Inc. | Audiologist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2014-07-29 |
| 1891043261 | Margaret M Hoffman | Hearing Instrument Specialist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003871021 | Whj, Inc. | Hearing Instrument Specialist | 600 Theodore St, Joliet, IL 60435-2443 | 2006-04-20 |
| 1053893974 | Wendy S Blaine | Hearing Instrument Specialist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2018-09-06 |
| 1417200189 | Michael L Reda | Hearing Instrument Specialist | 3340 Mall Loop Dr, Joliet, IL 60431-1057 | 2012-10-18 |
| 1891043261 | Margaret M Hoffman | Hearing Instrument Specialist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432517 | Erin Robinson | Hearing Instrument Specialist | 304 E Rand Rd Ste 100, Arlington Heights, IL 60004-3188 | 2020-09-21 |
| 1891308573 | Schackmann Hearing Group LLC | Hearing Instrument Specialist | 212 E Jefferson Ave Ste 2, Effingham, IL 62401-3458 | 2020-08-24 |
| 1801419593 | Teresa Barnes | Hearing Instrument Specialist | 60 E Main St Ste 2c, Cary, IL 60013-2227 | 2020-05-28 |
| 1730718024 | Grace M Leynes | Hearing Instrument Specialist | 107 S State St, Monticello, IL 61856-1968 | 2020-04-07 |
| 1659909125 | David Mccormick | Hearing Instrument Specialist | 1521 N Convent St Ste 300, Bourbonnais, IL 60914-1483 | 2020-03-31 |
| 1003443243 | Jerry Drabik | Hearing Instrument Specialist | 100 E Roosevelt Rd Ste 19, Villa Park, IL 60181-3529 | 2020-03-26 |
| 1245866466 | Lynne Marie Gilliland | Hearing Instrument Specialist | 256 S Route 59 Ste 120, Naperville, IL 60540-9108 | 2020-03-19 |
| 1194351395 | Victoria Wright | Hearing Instrument Specialist | 15880 S La Grange Rd Ste D09, Orland Park, IL 60462-4702 | 2020-03-19 |
| 1801428313 | Grant Matthew O'bryan | Hearing Instrument Specialist | 3718 Broadway St, Quincy, IL 62305-2822 | 2020-02-12 |
| 1255963278 | William B Hays | Hearing Instrument Specialist | 1130 E Main St Ste B, Carbondale, IL 62901-3122 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK FONSECA.
| 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.