DR. AMANDA LEA FORTIER (NPI# 1770023202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770023202 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LEA FORTIER |
| Credential | PHD |
| Practice Address |
5400 Pearl St Rosemont IL 60018-5305 |
| Practice Telephone | 8473497464 |
| Practice Fax Number | 8473497409 |
| Mailing Telephone | 8473497464 |
| Mailing Fax Number | 8473497409 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023541885 | Amanda Fortier | Occupational Therapist | 136 Summerset Lndg, Hampstead, NC 28443-3723 | 2017-04-09 |
| 1942750427 | Amanda Fortier | Social Worker | 30 Riverside Drive, Florence, MA 01062 | 2016-10-10 |
| 1811218977 | Amanda Doris Fortier | Occupational Therapist | 89-195 Farrington Hwy, Waianae, HI 96792-4102 | 2010-06-11 |
| Street Address |
5400 PEARL ST |
| City | ROSEMONT |
| State | IL |
| Zip Code | 60018-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952488066 | A2cl Services, LLC | Clinical Medical Laboratory | 5400 Pearl St, Rosemont, IL 60018-5320 | 2006-11-01 |
| 1932680626 | Carey Sentman | Genetic Counselor, MS | 5400 Pearl St, Rosemont, IL 60018-5305 | 2018-08-22 |
| 1710141551 | Jillene Michelle Kogan | Medical Genetics | 5400 Pearl St, Rosemont, IL 60018-5305 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
| 1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
| 1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
| 1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
| 1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
| 1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
| 1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
| Find all providers in zip 60018 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962778092 | Oscar S. Giron, M.d., S.c. | Medical Genetics, Ph.D. Medical Genetics | 1828 E Belvidere Rd, Grayslake, IL 60030-2289 | 2012-03-22 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1003245085 | Img Md, LLC | Medical Genetics, Ph.D. Medical Genetics | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2013-11-11 |
| 1548532526 | Nihon Medical Clinic, S.c. | Medical Genetics, Ph.D. Medical Genetics | 2010 S Arlington Heights Rd, Suite 101, Arlington Heights, IL 60005-4134 | 2012-02-06 |
| 1992881825 | Ann Megna | Medical Genetics, Ph.D. Medical Genetics | 1025 Ogden Ave, Suite 200, Lisle, IL 60532-4388 | 2006-10-31 |
| 1497773006 | Lincona Medical Asso.ltd. | Medical Genetics, Ph.D. Medical Genetics | 5131 N Lincoln Ave, Chicago, IL 60625-2585 | 2006-07-18 |
| 1831124759 | Lincona Medical Asso.ltd. | Medical Genetics, Ph.D. Medical Genetics | 5131 N Lincoln Ave, Chicago, IL 60625-2585 | 2006-07-11 |
| 1083659171 | Jatoi Clinic, Ltd. | Medical Genetics, Ph.D. Medical Genetics | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3809 | 2006-06-20 |
| 1386687556 | Tapas Dasgupta | Medical Genetics, Ph.D. Medical Genetics | 7845 S Cottage Grove Ave, Suite 109, Chicago, IL 60619-3100 | 2006-06-14 |
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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.