MR. Luis Victor Fernandez
NPI #1144588039 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1144588039
- Entity Type
- Individual
- Name
- MR. Luis Victor Fernandez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Apr 27, 2012
- Last Updated
- Apr 27, 2012
Practice Location
- Address
- 2410 SAMPSON ST
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2942
- Phone
- (847) 688-2469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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