Luvianca J Fonseca (NPI# 1205824406, PAC ID# 4082789797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205824406 |
| PAC ID by PECOS | 4082789797 |
| Professional Enrollment ID | I20080814000554 |
| Full Name | Luvianca J Fonseca |
| Organization Legal Name | MIRSHED MEDICAL CENTER SC |
| Address |
4255 W 63rd St Chicago IL 60629-5041 |
| Phone Number | 7734244048 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729153432 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140054 | MACNEAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4255 W 63rd St, Chicago, IL 60629-5041 | 7734244048 | MIRSHED MEDICAL CENTER SC |
| Organization Legal Name | MIRSHED MEDICAL CENTER SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nayeh E Mirshed | Internal Medicine | Mirshed Medical Center Sc | 4255 W 63rd St, Chicago, IL 60629-5041 |
| Street Address |
4255 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip | 60629-5041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nayeh E Mirshed | Internal Medicine | Mirshed Medical Center Sc | 4255 W 63rd St, Chicago, IL 60629-5041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alemayehu Bekele | General Surgery | 2701 68th St, Chicago, IL 60629-1813 | |
| Joy B West | Obstetrics/gynecology | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Shri Krishna Agrawal | Rheumatology | 2701 W 68th St 2 S Pavilion, Chicago, IL 60629-1813 | |
| Eli Bader | Psychiatry | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Laura Michelle Garcia | Nurse Practitioner | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Michelle Kethcart | Nurse Practitioner | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Rachel H Mcdowell | Emergency Medicine | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Lillian R De Leon | Internal Medicine | 2701 W 68th St, Fl 3, Chicago, IL 60629-1813 | |
| Andrew J Gause | Certified Registered Nurse Anesthetist (crna) | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Alfred L Allen | Internal Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Find all physicians in zip 60629 | |||
| City | CHICAGO |
| Zip Code | 60629 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHICAGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luvianca J Fonseca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.