Enas, Enas A.

Enas, Enas A. is an individual health care provider with primary practice located at 4121 Fairview Ave Suite103, Downers Grove IL 60515-2264. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Enas, Enas A. can be contacted via phone (630) 960-1844.

Contact Information

Primary practice address
4121 Fairview Ave Suite103 Downers Grove IL 60515-2264
Fax: (630) 852-0244
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-047389 Illinois

Profile Details

NPI number 1093771040
LBN Legal business name Enas, Enas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 3rd, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093771040 NPPES
Illinois MEDICAID 036047389

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