Faibisoff, Jan H.

Faibisoff, Jan H. is an sole proprietor health care provider with primary practice located at 9669 Kenton Ave Suite 306, Skokie IL 60076-1266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Faibisoff, Jan H. can be contacted via phone (847) 674-7501.

Contact Information

Primary practice address
9669 Kenton Ave Suite 306 Skokie IL 60076-1266
Phone: (847) 674-7501
Fax: (847) 674-7512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036057642 Illinois

Profile Details

NPI number 1215961289
LBN Legal business name Faibisoff, Jan H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jan 27th, 2010 - about 15 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 1215961289 NPPES
Illinois MEDICAID 036057642

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