Dr Gary Patrick Fernando, MD | |
1200 W State St, Rockford, IL 61102 | |
(815) 490-1600 | |
Not Available |
Full Name | Dr Gary Patrick Fernando |
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Gender | Male |
Speciality | Pediatrics |
Location | 1200 W State St, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013188408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 257716 (New York) | Secondary |
208000000X | Pediatrics | 036128459 (Illinois) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | Friend Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578560090 PECOS PAC ID: 2062494552 Enrollment ID: O20040805001242 |
Mailing Address | Practice Location Address |
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Dr Gary Patrick Fernando, MD 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Dr Gary Patrick Fernando, MD 1200 W State St, Rockford, IL 61102 Ph: (815) 490-1600 |
Dr. Karen J Dyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742 | |
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570 | |
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400 | |
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528 |