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Search › Illinois › 225200000X

Severiano Fernandez, PTA

NPI 1699688036 · on the registry since 2026 · sole proprietor

Practice

Address
200 E Randolph St Ste 5100
Chicago, IL 60601
Phone
(630) 474-2759
Organisation at this address
Dori Peace, Llc
Service In Bloom, Inc.
Celtic Insurance Company
Loop Psychotherapy, P.C.
Ayble Health Service Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-25

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