Samuel Fernando, MD

NPI 1023124930 · on the registry since 2006

Practice

Address: 8535 W 79th St
Justice, IL 60458
Phone: (708) 458-7474
Fax: (708) 458-7479
Organisation at this address: Madhavi Gadde Dmd Ltd
Robert T Miserendino Dds Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois