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
Fax: (708) 216-6534
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437235041 NPPES
Illinois Other 0001635382 BLUE CROSS BLUE SHIELD

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