Faibussowitsch, Ilja

Faibussowitsch, Ilja is an individual health care provider with primary practice located at 2800 N Sheridan Rd Suite 301, Chicago IL 60657-6156. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Faibussowitsch, Ilja can be contacted via phone (773) 935-5556.

Contact Information

Primary practice address
2800 N Sheridan Rd Suite 301 Chicago IL 60657-6156
Phone: (773) 935-5556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 55021 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 55021 Arizona
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 55021 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036094678 Illinois

Profile Details

NPI number 1740220193
LBN Legal business name Faibussowitsch, Ilja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 30th, 2018 - about 7 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 1740220193 NPPES
Illinois MEDICAID 036094678

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