Dr. Javier Fonseca, MD
Family Medicine in Wheeling, IL. Individual provider (NPI-1).
NPI number1922146414
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1922146414
- Entity type
- Individual (NPI-1)
- Name
- Dr. Javier Fonseca
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036047883 | IL | Yes |
Practice location
1111 W Dundee RdWheeling, IL 60090-3936
Phone 847-459-6030 · Fax 847-459-6046
Mailing address
1111 W Dundee RdWheeling, IL 60090-3936
Phone 847-459-6030 · Fax 847-459-6046
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