Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Luvianca J. Fonseca, MD

Individual provider Family Medicine Physician · NPI 1205824406

Dr. Luvianca J. Fonseca, MD is a Family Practice in Chicago, Illinois. Qualified in 1996, 30 years ago. Practices with Mirshed Medical Center S C, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4255 W 63rd St
Chicago, IL 60629-5041
Phone: (773) 424-4048
Fax: (773) 424-6463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036105462 (IL)

Record details

NPI number1205824406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Mirshed Medical Center S C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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