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DIEGO ALEJANDRO PIVIDAL FERNANDEZ MD
NPI 1003610544
Family Medicine in Chicago, IL

Active since April 03, 2025
1127 N OAKLEY BLVD FL 2, CHICAGO, IL 60622(312) 770-2040(312) 770-3270 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diego Alejandro Pividal Fernandez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEGO ALEJANDRO PIVIDAL FERNANDEZ MD (NPI 1003610544) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.086856) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1003610544
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDIEGO ALEJANDRO PIVIDAL FERNANDEZCredential: MD
Location Address1127 N OAKLEY BLVD FL 2Chicago, IL 60622-3507
Mailing Address1127 N Oakley Blvd Fl 2Chicago, IL 60622-3507 · (312) 770-2040 · Fax (312) 770-3270
Phone(312) 770-2040
Fax(312) 770-3270
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1003610544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.086856
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1127 N OAKLEY BLVD FL 2, Chicago, IL 60622
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA BORISOVA MD
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DANIEL OSTAPOWICZ
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DR. MATTHEW RICHARD FELTEN M.D.
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
JORDAN M ALVIA MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
ADAUGO P EBIRINGAH MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DR. ADITYA VIJ MD
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DAGNI COROMOTO CHUKI NAGUANAGUA MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Pividal Fernandez's NPI number?

The NPI number for Diego Pividal Fernandez is 1003610544. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Diego Pividal Fernandez located?

Diego Pividal Fernandez practices at 1127 N Oakley Blvd Fl 2, Chicago, IL 60622. The listed phone number is (312) 770-2040.

What is Diego Pividal Fernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Diego Pividal Fernandez was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.