Abu Fares, Abed Alfattah
Abu Fares, Abed Alfattah is an sole proprietor health care provider with primary practice located at 1101 N Allen St Ste B , Robinson IL 62454-1168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abu Fares, Abed Alfattah can be contacted via phone (917) 445-5531.Contact Information
Primary practice address
1101 N Allen St Ste B
Robinson IL 62454-1168
Phone: (917) 445-5531
Fax: (618) 546-2634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 329587 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036154929 | Illinois |
Profile Details
| NPI number | 1467947580 |
|---|---|
| LBN Legal business name | Abu Fares, Abed Alfattah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2018 |
| Last updated | Jul 2nd, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467947580 | NPPES |
| New York | MEDICAID | 390200000X |
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