Fernandez, Luis Victor

Fernandez, Luis Victor is an individual health care provider with primary practice located at 2410 Sampson St , Great Lakes IL 60088-2942. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fernandez, Luis Victor can be contacted via phone (847) 688-2469.

Contact Information

Primary practice address
2410 Sampson St Great Lakes IL 60088-2942
Phone: (847) 688-2469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1144588039
LBN Legal business name Fernandez, Luis Victor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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