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Search › Illinois › 363LP0200X

Mariaelena Fagadore, CNP

NPI 1861490138 · on the registry since 2005

Practice

Address
4254 W 55th St
Chicago, IL 60632
Phone
(773) 582-5200
Fax
(773) 582-2772
Organisation at this address
Ibtisam Inc
Ibtisam Inc
Manuel O Rojas
Midway Pediatrics Llc
Elsdon Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
163WP0200X
363LP0200X
Licence states on file
NM, FL, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-11

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