Lito Fajardo (NPI# 1487706149, PAC ID# 7517098312) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1487706149 |
| PAC ID by PECOS | 7517098312 |
| Professional Enrollment ID | I20100623000015 |
| Full Name | Lito Fajardo |
| Organization Legal Name | EPIX ANESTHESIA OF CENTRAL ILLINOIS LLC |
| Address |
12935 Gregory St Blue Island IL 60406-2428 |
| Phone Number | 6785801349 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1658508684 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12935 Gregory St, Blue Island, IL 60406-2428 | 6785801349 | EPIX ANESTHESIA OF CENTRAL ILLINOIS LLC |
| 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 | 7088959450 | STAT ANESTHESIA SPECIALISTS LTD |
| 10220 Wicker Ave, Suite 3, Saint John, IN 46373-8400 | 2195156943 | STAT ANESTHESIA SPECIALISTS LTD |
| Organization Legal Name | EPIX ANESTHESIA OF CENTRAL ILLINOIS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista A Weber | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Lordora Wheeler Robinson | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Shashi K Tandon | Anesthesiology | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Hassan Jeelani Shakir | Anesthesiology | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Street Address |
12935 GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahesh Vadali | Gastroenterology | Southwest Medical Consultants Sc | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Liisa L Laakso | Diagnostic Radiology | Specialists In Medical Imaging Sc | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Michael S Romberg | General Surgery | Sas Surgical Ltd | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Krista A Weber | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Malathi Shah | Nephrology | Nephrology Associates of Northern Illinois Ltd | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Lordora Wheeler Robinson | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Central Illinois LLC | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Sejal K Kalawadia | Nephrology | Nephrology Associates of Northern Illinois Ltd | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Saud S Ahmed | Diagnostic Radiology | Specialists In Medical Imaging Sc | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Salvatore C Ventura | Nephrology | Nephrology Associates of Northern Illinois Ltd | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Kathleen E Dumford | Diagnostic Radiology | Specialists In Medical Imaging Sc | 12935 Gregory St, Blue Island, IL 60406-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | BLUE ISLAND + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Lito Fajardo.
| 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.