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Andres Fantauzzi Portela, MD
NPI 1457815086 · on the registry since 2019
Practice
- Address
- 1950 W Polk St Ste 5210
Chicago, IL 60612 - Phone
- (312) 864-0200
- Organisation at this address
- Cook County
Cook County
Eye Q Optique IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 145
Additional practice sites
- 388 Zona Ind Reparada 2, Ponce, PR
- F19 Calle Reina Victoria, Guaynabo, PR
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 207N00000X
207N00000X - Licence states on file
- PR, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-02
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