| Dr Israel V Fernando, MD | |
|
3709 16th St, Moline, IL 61265-7208 | |
| (309) 797-2713 | |
| (309) 797-9558 |
| Full Name | Dr Israel V Fernando |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3709 16th St, Moline, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558473850 | NPI | - | NPPES |
| 2252064 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036-101791 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Israel V Fernando, MD 3709 16th St, Moline, IL 61265-7208 Ph: (309) 797-2713 | Dr Israel V Fernando, MD 3709 16th St, Moline, IL 61265-7208 Ph: (309) 797-2713 |
Una Clare Miniter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd Ste 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Barbara Ann Lindman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4310 Fax: 309-779-4305 | |
Dr. Brian K Bonish, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr Ste 204, Moline, IL 61265 Phone: 309-227-6552 Fax: 309-277-6553 | |
Dr. Naurin Ehsan Ahmad, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4200 | |
Dr. Donna Lynne Poesch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1302 7th St, Suite 202, Moline, IL 61265 Phone: 309-277-0772 Fax: 309-277-0774 | |
Dr. Rachel Ade Koziczkowski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 870 36th Ave, Moline, IL 61265 Phone: 309-623-7100 Fax: 309-623-7079 |