| Doctor Name: | DR. EMERITO FERNANDEZ URETA |
| NPI Number: | 1558441394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036045117 |
| Business Practice Address: | 428 N Caldwell St Suite 20 Staunton, IL - 620881173 |
| Business Phone Number: | 6186355511 |
| Business Fax Number: | 6186355514 |
| Mailing Address: | 428 N Caldwell St, Suite 20 STAUNTON |
| State: | IL |
| Postal Code: | 620881173 |
| Phone Number: | 6186355511 |
| Fax Number: | 6186355514 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036045117 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |