Search › Illinois › 2085R0204X
Adam Fonseca, M.D
NPI 1285053546 · on the registry since 2014
Practice
- Address
- 2160 S 1st Ave
Maywood, IL 60153 - Phone
- (708) 216-5204
- Organisation at this address
- Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,186
Additional practice sites
- 1430 Tulane Ave # Sl-22, New Orleans, LA
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 390200000X
- Licence states on file
- LA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-08
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