ANGELITO FERNANDEZ

Family Medicine

Active Individual
NPI: 1700966116

Practice Address

1506 W REYNOLDS ST
Pontiac, IL 61764

Phone: (815) 844-6123

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036-053418 (IL)

Frequently Asked Questions

NPI 1700966116 is the National Provider Identifier for ANGELITO FERNANDEZ, a Family Medicine provider located in Pontiac, IL. This NPI was enumerated on October 17, 2006.
ANGELITO FERNANDEZ practices at 1506 W REYNOLDS ST, Pontiac, IL 61764.

Quick Facts

NPI
1700966116
Type
Individual
Enumerated
Oct 17, 2006
Last Updated
Mar 1, 2011

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