Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRES JAVIER FANTAUZZI PORTELA, MD
ActiveANDRES JAVIER FANTAUZZI PORTELA, MD is a Student (Health Education/Training) healthcare provider located in CHICAGO, Illinois. NPI 1457815086 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · CHICAGO, IL
Registration Details
- NPI Number
- 1457815086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2019 (7.5598442473018 yrs)
- Last Updated
- Jul 2, 2025
- Licenses
-
23339 (PR)125086744 (IL)
Practice Information
- Address
-
1950 W POLK ST STE 5210CHICAGO, IL, 606123723Browse IL providers · Browse ZIP 60612
- Phone
- 3128640200
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Dermatology
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MR. CARLOS RODRIGUEZ | P.T. | 1700926771 |
| DR. KAMRAN NICHOLAS SADR | M.D. | 1639390024 |
| DR. KIMBERLY ANN INGALLS | M.D. | 1124249107 |
| LEONID FEFERMAN | — | 1922210483 |
| DR. MANI M. BATCHU | D.O. | 1619180544 |
| CHRISTOPHER RYAN HEERY | M.D. | 1801001920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.