DR. DAVID G. FUENTES JR. (NPI# 1558640656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558640656 |
| Entity Type | Individual |
| Full Name | DR. DAVID G. FUENTES JR. |
| Credential | PHARMD |
| Practice Address |
1400 N Roosevelt Blvd 245 Schaumburg IL 60173-4377 |
| Practice Telephone | 8473304540 |
| Mailing Telephone | 8473304540 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
55520 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1013911544 | David Fuentes | Allergy & Immunology | 109 Falls Ct, Ste 100, Boerne, TX 78006-2978 | 2005-06-13 |
| 1083137301 | David Michael Fuentes | Specialist/Technologist | 19455 Deerfield Ave Ste 312, Lansdowne, VA 20176-8102 | 2017-07-18 |
| 1073908224 | David Fuentes | Psychologist | 6075 Bathey Ln, Naples, FL 34116-7536 | 2015-04-04 |
| Street Address |
1400 N ROOSEVELT BLVD 245 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60173-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720353485 | Tara E Dymon | Pharmacist | 1400 N Roosevelt Blvd, College of Pharmacy, Schaumburg, IL 60173-4377 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800600 | Daniella M Raimondi | Counselor | 1305 Remington Rd Suite U, Schaumburg, IL 60173 | 2020-01-07 |
| 1821562588 | Pathways Counseling P C. | Psychologist | 937 N. Plum Grove Rd., Suite D, Schaumburg, IL 60173 | 2019-01-16 |
| 1346741931 | Rebecca E Montgomery, D.d.s., P.C. | Dentist | 1501 E. Woodfield Rd., Suite 100e, Schaumburg, IL 60173 | 2018-02-28 |
| 1508364431 | Joseph Mazzei Sc | Clinic/Center | 1827 Walden Office Sq Ste 250, Schaumburg, IL 60173 | 2018-01-25 |
| 1093234098 | Bridgette Koukos | Counselor | Fair Counseling, 2010 E Algonquin Rd, Suite 206, Schaumburg, IL 60173 | 2017-09-12 |
| 1467970095 | Julie Sweeney | Social Worker | 650 E. Algonquin Rd. Suite 108, Schaumburg, IL 60173 | 2017-09-04 |
| 1952781189 | Riismaa Psychological Services, Inc. | Psychologist | 1325 Remington Road, Suite R, Schaumburg, IL 60173 | 2015-06-03 |
| 1306239736 | Lana Batinic | Counselor | 1305 Remington Rd Ste U, Schaumburg, IL 60173 | 2015-03-10 |
| 1265824734 | Elgin Medical Pain Management | Anesthesiology | 1037 E Woodfield Rd., Schaumburg, IL 60173 | 2015-02-20 |
| 1891127395 | Kristen Lee Nicholls | Nurse Practitioner | 943 N. Plum Grove Road, Suite B, Schaumburg, IL 60173 | 2013-08-07 |
| Find all providers in zip 60173 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950442 | Norman Howard Leeds | Pharmacist | 5 Grenadier Ct, Lincolnshire, IL 60069-3343 | 2016-05-15 |
| 1144600693 | Tatiana Mauda | Pharmacist | 1310 W 18th St Apt 3b, Chicago, IL 60608-3132 | 2015-05-30 |
| 1518044098 | Todd Paul Semla | Pharmacist | 2732 Lincolnwood Dr, Evanston, IL 60201-1229 | 2006-11-01 |
| 1881695708 | Jennifer L Zacher | Pharmacist | 852 S West St, Naperville, IL 60540-6400 | 2005-08-02 |
| 1407853609 | Randy Dale Malan | Pharmacist | 401 N 4th St, First Floor, Springfield, IL 62702-5255 | 2005-07-01 |
| 1326045675 | Christopher Michael Gillette | Pharmacist | 228 Ne Jefferson Ave, Peoria, IL 61603-3639 | 2005-07-01 |
| 1588280937 | Laine Ferrill | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-22 |
| 1568990802 | Amy Butz | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2017-05-31 |
| 1477838886 | Jamie C Holmes | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2011-10-17 |
| 1841525847 | Brad S Koechle | Pharmacist | 401 N 4th St, Springfield, IL 62702-5205 | 2009-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60173 |
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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.