Fernando F Illescas (NPI# 1417933961, PAC ID# 0244134054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1417933961 |
| PAC ID by PECOS | 0244134054 |
| Professional Enrollment ID | I20051014000095 |
| Full Name | Fernando F Illescas |
| Organization Legal Name | CENTER FOR VEIN RESTORATION CT LLC |
| Address |
113 Elm St Suite 301 Enfield CT 06082-3739 |
| Phone Number | 8558308346 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8820232713 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 | 8558308346 | CENTER FOR VEIN RESTORATION CT LLC |
| 113 Elm St, Suite 301, Enfield, CT 06082-3739 | 8558308346 | CENTER FOR VEIN RESTORATION CT LLC |
| 40 Cross St, Suite 320, Norwalk, CT 06851-4661 | 8558308346 | CENTER FOR VEIN RESTORATION CT LLC |
| Organization Legal Name | CENTER FOR VEIN RESTORATION CT LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Alosco | General Surgery | Center for Vein Restoration Ct LLC | 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 |
| Evan W Harris | Interventional Radiology | Center for Vein Restoration Ct LLC | 136 Berlin Rd, Suite 202, Cromwell, CT 06416-2622 |
| Street Address |
113 ELM ST SUITE 301 |
| City | ENFIELD |
| State | CT |
| Zip | 06082-3739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priyanka Deb | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
| Michael P Habeeb | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
| Thomas J Anderson | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
| Alena V Kreychman | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
| Brandon Tibbitts | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Kelly Lorraine Mead | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Folashade O Ajegba | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
| Beth A Lemek | Physician Assistant | Connecticut Gi PC | 113 Elm St, Suite 303, Enfield, CT 06082-3739 |
| Michael R Lund | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
| Leah K Ehle | Nurse Practitioner | Connecticut Gi PC | 113 Elm St, Suite 303, Enfield, CT 06082-3739 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Marie Sawyer | Nurse Practitioner | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Julie Marie Wondolowski | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Kaitlin Grant Pulito | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Dominic Louis Demello | Rheumatology | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Claudia Artime | Internal Medicine | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Alana C Rebollo | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Scott M Cato | Chiropractic | 701 Enfield St, Suite 170, Enfield, CT 06082-2961 | |
| Kyle A Richards | Cardiovascular Disease (cardiology) | Pioneer Valley Cardiology Associates, Inc | 701 Enfield St, Enfield, CT 06082-2961 |
| Thomas P Misiewicz | Optometry | 25 N Main St, Enfield, CT 06082-3327 | |
| Shadana Smith-grant | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 875 Enfield St, Enfield, CT 06082-3617 |
| Find all physicians in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ENFIELD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Fernando F Illescas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.