Faine, Paul

Faine, Paul is an individual health care provider with primary practice located at 3249 Oak Park Ave , Berwyn IL 60402-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Faine, Paul can be contacted via phone (708) 783-9100.

Contact Information

Primary practice address
3249 Oak Park Ave Berwyn IL 60402-3429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-094361 Illinois

Profile Details

NPI number 1033136577
LBN Legal business name Faine, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 21st, 2009 - 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 1033136577 NPPES
Illinois MEDICAID 036094361

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