ANNETTE FONTANEZ (NPI# 1508339086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508339086 |
| Entity Type | Individual |
| Full Name | ANNETTE FONTANEZ |
| Credential | FNP |
| Practice Address |
7900 N Milwaukee Ave Ste 18 Niles IL 60714-3165 |
| Practice Telephone | 8476639700 |
| Practice Fax Number | 8476639702 |
| Mailing Telephone | 8476639700 |
| Mailing Fax Number | 8476639702 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F12180356 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 322 E Memorial Rd, Bensenville, IL 601062613 | 3124202899 |
| Street Address |
7900 N MILWAUKEE AVE STE 18 |
| City | NILES |
| State | IL |
| Zip Code | 60714-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558406371 | Dina Aburmishan | Dietitian, Registered | 7900 N Milwaukee Ave Ste 18, Niles, IL 60714-3165 | 2007-02-20 |
| 1205178381 | Andrew Michael Dahlem Jr. | Family Medicine | 7900 N Milwaukee Ave Ste 18, Niles, IL 60714-3165 | 2013-03-26 |
| 1134350820 | Pamela Jean Platt | Physical Therapist | 7900 N Milwaukee Ave Ste 18, Niles, IL 60714-3165 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985143 | Ilda Grahovic | Nurse Practitioner | 8612 N Osceola Ave, Niles, IL 60714-2030 | 2020-05-30 |
| 1669023347 | David Flowers | Nurse Practitioner | 8323 N Oriole Ave, Niles, IL 60714-2555 | 2019-09-24 |
| 1255832424 | Diana Heskin | Nurse Practitioner | 7900 N Milwaukee Ave Ste 2-24, Niles, IL 60714-3186 | 2018-02-23 |
| 1598276388 | Sumnima Karki | Nurse Practitioner | 8809 W Golf Rd Apt 1i, Niles, IL 60714-5723 | 2017-10-19 |
| 1346614260 | Queenester B Gray | Nurse Practitioner | 5940 W Touhy Ave Ste 370, Niles, IL 60714-4619 | 2015-11-16 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1790067064 | Bridges Health Services | Nurse Practitioner | 1132 Carberry Rd, Niles, MI 49120-5107 | 2011-09-13 |
| 1811558695 | Cindy Ann Fink | Nurse Practitioner | 1331 Youngstown Warren Rd, Niles, OH 44446-4616 | 2019-06-24 |
| 1891210944 | Amy Adel Sugar | Nurse Practitioner | 1331 Youngstown Warren Rd, Niles, OH 44446-4616 | 2017-08-10 |
| 1518401090 | Theresa Andrews | Nurse Practitioner | 9640 N Milwaukee Ave, Niles, IL 60714-1117 | 2016-12-18 |
| Find all providers in NILES | ||||
Please comment or provide details below to improve the information on ANNETTE FONTANEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.