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

Mr. Luis Victor Fernandez

Individual provider Independent Duty Corpsman · NPI 1144588039

Mr. Luis Victor Fernandez is an Independent Duty Corpsman in Great Lakes, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

2410 Sampson St
Great Lakes, IL 60088-2942
Phone: (847) 688-2469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1144588039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESApril 27, 2012

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