Dr. John Edward Fortunato Jr.
MD | Pediatric Gastroenterology | Male
Dr. John Edward Fortunato Jr., MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. John Edward Fortunato Jr. is
225 E Chicago Ave, Chicago, Illinois - 60611. He can be contacted on phone at
312-227-4200 and fax number 312-227-9392.
Dr. John Edward Fortunato Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John Edward Fortunato Jr. is
1477511541 which was assigned by NPPES on 01 May, 2006 and it was last updated on 22 May, 2018.
Dr. John Edward Fortunato Jr. license number is
036096126 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Illinois.
Dr. John Edward Fortunato Jr. specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. John Edward Fortunato Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Dr. John Edward Fortunato Jr. |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. John Edward Fortunato Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 225 E Chicago Ave
Chicago, IL, 60611
United States |
|---|
| Phone Number : | 312-227-4200 |
|---|
| Fax Number : | 312-227-9392 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477511541 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 May, 2006 |
|---|
| Last Updated On : | 22 May, 2018 |
|---|
Medicare Participation:
Dr. John Edward Fortunato Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9638153141 |
|---|
| Medicare Enrollment ID : | I20210818002192 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Tufts University School Of Medicine |
|---|
| Graduation Year : | 1995 |
|---|
| Accepts Medicare? | Yes. Dr. John Edward Fortunato Jr. accepts medicare insurance. |
|---|
Group Practice Association:
Dr. John Edward Fortunato Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. John Edward Fortunato Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Pediatric Faculty Foundation Inc | 4789597279 | 115 | 225 E Chicago Ave
Chicago, IL - 606112991
Ph: 8005437362 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Edward Fortunato Jr. are as mentioned. Primary taxonomy code for Dr. John Edward Fortunato Jr., MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 2006-00442 | NC |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 036096126 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John Edward Fortunato Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5904588 | MEDICAID | NC | |
| 10409276 | MEDICAID | VA | |
| 7423644 | Other | | BCBS |
| 3810007095 | MEDICAID | WV | |
| 188686 | Other | | MEDCOST |
| 7423644 | Other | | AETNA |
| 808511 | Other | | PARTNERS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 225 E Chicago Ave
Chicago, IL, 60611-2991
United States |
|---|
| Phone Number : | 312-227-4200 |
|---|
| Fax Number : | 312-227-9392 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. John Edward Fortunato Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.