DR. JOHN EDWARD FORTUNATO MD NPI 1477511541

NPI Information

  • NPI: 1477511541
  • Provider Name: DR. JOHN EDWARD FORTUNATO, MD
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 225 E CHICAGO AVE
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 227-4200

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NPI Details

DR. John Edward Fortunato, MD is a pediatric gastroenterology pediatrics in Chicago, IL with 31 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. John Edward Fortunato, MD NPI is 1477511541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4200
Fax: (312) 227-9392

The NPI 1477511541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 5/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric Gastroenterology2006-00442NORTH CAROLINANo
22080P0206XPediatricsPediatric Gastroenterology036096126ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15904588MEDICAIDNORTH CAROLINA
210409276MEDICAIDVIRGINIA
37423644OTHERBCBS
43810007095MEDICAIDWEST VIRGINIA
5188686OTHERMEDCOST
67423644OTHERAETNA
7808511OTHERPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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