Samuel Cube Fernando, MD

NPI #1023124930 in Justice, Illinois

Provider Information

NPI Number: 1023124930
Entity Type: Individual
Name: Samuel Cube Fernando, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8535 W 79TH ST
City: Justice
State: Illinois
ZIP Code: 60458-2281
Phone: (708) 458-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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