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Contact Information

JOHN E FORTUNATO JR, MD
225 E CHICAGO AVE
CHICAGO, IL60611
 Phone: 312-227-4200
 Fax: 312-227-9392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN E FORTUNATO JR · (Male)

NPI # 1477511541
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036096126
  • NC License # 2006-00442
  • NC Medicaid 5904588
  • VA Medicaid 10409276
  • WV Medicaid 3810007095
  • Other 7423644 AETNA
  • Other 7423644 BCBS
  • Other 188686 MEDCOST
  • Other 808511 PARTNERS
Hospital affiliation(s) Not Available
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.

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