DR. JOHN EDWARD FORTUNATO JR. (NPI# 1477511541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477511541 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWARD FORTUNATO JR. |
| Credential | MD |
| Practice Address |
225 E Chicago Ave Chicago IL 60611 |
| Mailing Address |
225 E Chicago Ave Chicago IL 60611-2991 |
| Practice Telephone | 3122274200 |
| Practice Fax Number | 3122279392 |
| Mailing Telephone | 3122274200 |
| Mailing Fax Number | 3122279392 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
036096126 | IL | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
2006-00442 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDCOST | 188686 | 01 | |
| AETNA | 7423644 | 01 | |
| WV | 3810007095 | 05 | |
| PARTNERS | 808511 | 01 | |
| NC | 5904588 | 05 | |
| BCBS | 7423644 | 01 | |
| VA | 10409276 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841783115 | John Thomas Fortunato | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2018-06-12 |
| 1396858486 | John Edward Fortunato | Psychologist | 5005 N Piedras St, El Paso, TX 79920-5001 | 2006-08-16 |
| Street Address |
225 E CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779734 | Martha Cotsen Saker | Radiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-06 |
| 1356942239 | Sara Mancuso | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-11-05 |
| 1912514423 | Emily May Wilson | Audiologist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-29 |
| 1780291617 | Loretta Lavigne | Social Worker | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-24 |
| 1275149312 | Abigail Hadley | Registered Nurse | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-22 |
| 1326653866 | Lauren Spradling | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-11 |
| 1629682232 | Agnes Kim | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 | |
| 1861006405 | Samantha A Grooss | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1255945838 | Patrice H. Swiontek | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1205440088 | Lisa Sharda | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799482 | Tiffany J. Patton | Pediatrics | 5839 S. Maryland Ave., Wyler C-474, Mc 4065, Chicago, IL 60637-1470 | 2009-06-05 |
| 1982860755 | Joshua Prozialeck | Pediatrics | 225 E Chicago Ave # 65, Chicago, IL 60611-2991 | 2008-07-31 |
| 1881866259 | Lee Michael Bass | Pediatrics | 2300 N Childrens Plz # 65, Chicago, IL 60614-3363 | 2008-03-26 |
| 1457578023 | Nancy M. Mcgreal | Pediatrics | 5839 S. Maryland Avenue, Mc 4065, Chicago, IL 60637 | 2007-04-18 |
| 1649300385 | Barbara S. Kirschner | Pediatrics | University of Chicago, Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1679603302 | Stefano Guandalini | Pediatrics | University of Chicago, Section of Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1972611234 | Valeria C Cohran | Pediatrics | 2300 Children's Plaza, Box 65, Children's Memorial Hospital, Chicago, IL 60614-3394 | 2006-08-28 |
| 1598726432 | Timothy A Sentongo | Pediatrics | 5839 S. Maryland Ave, Mc 4065, Chicago, IL 60637 | 2006-03-30 |
| 1497109581 | Mora Violeta Puertolas | Pediatrics | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2016-04-15 |
| 1245629922 | Bridget Whitehead | Pediatrics | 240 E Huron St, , Mcgaw Pavilion Suite 1-200, Chicago, IL 60611 | 2015-01-17 |
| 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.