DR. FERNANDA D HEITOR (NPI# 1902027113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902027113 |
| Entity Type | Individual |
| Full Name | DR. FERNANDA D HEITOR |
| Credential | M.D. |
| Practice Address |
675 N Saint Clair St Ste 18-200 Northwestern Medical Group Chicago IL 60611-5929 |
| Practice Telephone | 3126958630 |
| Practice Fax Number | 3126952857 |
| Mailing Telephone | 3126958630 |
| Mailing Fax Number | 3126952857 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301100811 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A104938 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036136207 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301100811 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
675 N SAINT CLAIR ST STE 18-200 NORTHWESTERN MEDICAL GROUP |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312363 | Jeffrey A Linder | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2006-05-15 |
| 1780115485 | Arushi Singh | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2017-03-23 |
| 1235660309 | Jennifer Jo | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2017-03-21 |
| 1629519061 | Graham Peigh | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2017-03-18 |
| 1548618549 | Anna Breen Liggett | Family Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2016-05-31 |
| 1760846935 | Madelyn Burkart | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2016-04-13 |
| 1508228594 | Omolola Alakija | Hospitalist | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2016-03-28 |
| 1679765705 | Sarah Beth Dickson | Nurse Practitioner | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2007-08-13 |
| 1114133717 | Lenore Fitzsimmons Soglin | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2007-05-14 |
| 1386860534 | Swati Datta | Internal Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1114113271 | Ewa Nowak | Internal Medicine | 3319 N Elston Ave # 200, Chicago, IL 60618-5811 | 2007-09-21 |
| 1275735706 | Geraldine Luna | Internal Medicine | 2231 E 95th St, Chicago, IL 60617-4804 | 2007-06-05 |
| 1487864542 | Kyra Payne | Internal Medicine | 213 N Racine, #100, Chicago, IL 60607 | 2007-05-23 |
| 1669699716 | Alejandro Aparicio | Internal Medicine | 6512 W Belle Plaine Ave, Chicago, IL 60634-1434 | 2007-04-19 |
| 1154459840 | Patricia Anne Rush | Internal Medicine | 7101 S Exchange Ave, Chicago, IL 60649-2503 | 2007-03-02 |
| 1447313705 | Shellie N Williams | Internal Medicine | The University of Chicago, 5841 S. Maryland Ave. Mc 6098, Chicago, IL 60637 | 2006-12-18 |
| Find all providers in CHICAGO | ||||
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| 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.