IndividualActive
Adam Fonseca, M.D.
NPI 1285053546 · Vascular & Interventional Radiology Physician · Maywood, IL
Provider details
- NPI number
- 1285053546
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-5204
Approximate (ZIP-level) locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Additional practice locations (1)
- 1430 Tulane Ave # Sl-22Tulane University, Department of SurgeryNew Orleans, LA 70112-2632Phone: (504) 988-5128
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2020-06-08
- Certified
- 2020-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.