DR. JAVIER FONSECA (NPI# 1922146414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922146414 |
| Entity Type | Individual |
| Full Name | DR. JAVIER FONSECA |
| Credential | MD |
| Practice Address |
1111 W Dundee Rd Wheeling IL 60090-3936 |
| Practice Telephone | 8474596030 |
| Practice Fax Number | 8474596046 |
| Mailing Telephone | 8474596030 |
| Mailing Fax Number | 8474596046 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 21604492 | 01 |
| Street Address |
1111 W DUNDEE RD |
| City | WHEELING |
| State | IL |
| Zip Code | 60090-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444297 | Constance C. Hein | Chiropractor | 1111 W Dundee Rd, Wheeling, IL 60090-3936 | 2005-11-17 |
| 1750685418 | 4 Kids Pediatrics S.c | Pediatrics | 1111 W Dundee Rd, East Entrance, Wheeling, IL 60090-3936 | 2011-01-10 |
| 1154569580 | Lila Dana Elman | Pediatrics | 1111 W Dundee Rd, East Entrance, Wheeling, IL 60090-3936 | 2009-01-22 |
| 1891902383 | Moran-schaefer Clinic | Chiropractor | 1111 W Dundee Rd, Wheeling, IL 60090-3936 | 2007-05-16 |
| 1205048329 | Chiropractic Health & Fitness Center | Chiropractor | 1111 W Dundee Rd, Wheeling, IL 60090-3936 | 2007-05-03 |
| 1417930686 | Richard A. Schaefer | Chiropractor | 1111 W Dundee Rd, Wheeling, IL 60090-3936 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| Find all providers in zip 60090 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922465939 | Wheeling Hospital, Inc. | Family Medicine | 616 Fairmont Pike, Wheeling, WV 26003-1344 | 2016-01-21 |
| 1508009606 | Family Medicine LLC | Family Medicine | 2108 Lumber Ave, Suite 6, Wheeling, WV 26003-5350 | 2009-04-20 |
| 1588831523 | Yekaterina O Brown | Family Medicine | 1076 E Bethlehem Blvd, Wheeling, WV 26003-4961 | 2008-05-09 |
| 1467655712 | Mathew J Wood | Family Medicine | 2108 Lumber Ave Ste 6, Wheeling, WV 26003-5350 | 2007-06-06 |
| 1740307016 | Debra L Ricciardi | Family Medicine | 544a W Dundee Rd, Wheeling, IL 60090-2675 | 2007-03-23 |
| 1710039276 | Catherine Joann Evans | Family Medicine | 1079 National Rd, Wheeling, WV 26003-5701 | 2007-01-17 |
| 1184772568 | Oakwood Clinic Family Practice Inc | Family Medicine | 616 Fairmont Pike Rt88, Wheeling, WV 26003 | 2007-01-08 |
| 1497803878 | Thomas George Wack Jr. | Family Medicine | 616 Fairmont Pike Rt 88, Wheeling, WV 26003 | 2007-01-08 |
| 1700977592 | Daniel Wayne Wilson | Family Medicine | 109 Mount Wood Rd, Wheeling, WV 26003-2632 | 2006-09-27 |
| 1780797738 | Wijdan Suwaid | Family Medicine | 2000 Eoff St Bldg Suite603, Wheeling, WV 26003-3823 | 2006-08-16 |
| Find all providers in WHEELING | ||||
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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.