PATRICK S FERNANDES

NORMAL, IL
NPI1033172655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: IL  036102220)
Enumeration Date2006-04-07
Last Update Date2021-03-24
Business Address
PATRICK S FERNANDES MD
407 E VERNON AVE
NORMAL, IL 61761-3813
Phone number: 309-451-2231
Mailing Address
PATRICK S FERNANDES MD
611 W. PARK ST FAPC
URBANA, IL 61801
Phone number: 309-451-2231
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