Fortado, Dana Deanne
Fortado, Dana Deanne is an sole proprietor health care provider with primary practice located at 7350 Lake St G, River Forest IL 60305-2247. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fortado, Dana Deanne can be contacted via phone (708) 828-0221.Contact Information
Primary practice address
7350 Lake St G
River Forest IL 60305-2247
Phone: (708) 828-0221
Fax: (708) 216-6534
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | Illinois |
Profile Details
NPI number | 1437235041 |
---|---|
LBN Legal business name | Fortado, Dana Deanne |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437235041 | NPPES |
Illinois | Other | 0001635382 | BLUE CROSS BLUE SHIELD |
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