National Provider Identifier Database

JORGE E FERNALD, MD – NPI #1912056326
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

JORGE E FERNALD, MD
7300 W COLLEGE DR
SUITE #101
PALOS HEIGHTS, IL60463
Phone: 708-448-8470
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for JORGE E FERNALD

NPI Number 1912056326
Credentials MD
Entity Individual
Enumeration date 01/09/2007
Last updated 08/23/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036-085526
  • IL License #: 036-095526
  • IL Medicaid: 036095526
  • IL Other: F400488988 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JORGE E FERNALD, MD

There are currently no reviews for JORGE E FERNALD, MD


NPIdb - Home
v2.201