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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740220193 | NPPES |
| Illinois | MEDICAID | 036094678 |
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