1. Home
  2. Directory
  3. Illinois
  4. Justice
  5. Internal Medicine
  6. NPI Profile

SAMUEL CUBE FERNANDO MD
NPI 1023124930
Internal Medicine in Justice, IL

Active since August 22, 2006
8535 W 79TH ST, JUSTICE, IL 60458(708) 458-7474(708) 458-7479 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Cube Fernando Md NPPES

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

SAMUEL CUBE FERNANDO MD (NPI 1023124930) is an individual internal medicine provider in Justice, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023124930
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL CUBE FERNANDOCredential: MD
Location Address8535 W 79TH STJustice, IL 60458-2281
Mailing Address8535 W 79th StJustice, IL 60458-2281 · (708) 458-7474 · Fax (708) 458-7473
Phone(708) 458-7474
Fax(708) 458-7479
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023124930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8535 W 79TH ST, Justice, IL 60458
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified467850IL
Medicare UPIND12482

Other Providers at the Same Location NPPES 4

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

DR. ROBERT THOMAS MISERENDINO D.D.S.
Dentist (General Practice)
8535 W 79TH ST
JUSTICE, IL 60458
Cook County (708) 458-7552
MADHAVI GADDE DMD LTD
Dentist
8535 W 79TH ST
JUSTICE, IL 60458
Cook County (708) 458-7552
ROBERT T MISERENDINO DDS LTD
Clinic/Center (Dental)
8535 W 79TH ST
JUSTICE, IL 60458
Cook County (708) 458-7552
MADHAVI GADDE DMD
Dentist (General Practice)
8535 W 79TH ST
JUSTICE, IL 60458
Cook County (708) 458-7552

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 Samuel Fernando's NPI number?

The NPI number for Samuel Fernando is 1023124930. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Samuel Fernando located?

Samuel Fernando practices at 8535 W 79th St, Justice, IL 60458. The listed phone number is (708) 458-7474.

What is Samuel Fernando's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Samuel Fernando was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.