Faisal, Daniel O

Faisal, Daniel O is an sole proprietor health care provider with primary practice located at 8311 Roosevelt Rd , Forest Park IL 60130-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Faisal, Daniel O can be contacted via phone (630) 589-4030.

Contact Information

Primary practice address
8311 Roosevelt Rd Forest Park IL 60130-2529
Fax: (630) 241-1543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-054624 Illinois

Profile Details

NPI number 1578686432
LBN Legal business name Faisal, Daniel O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2007
Last updated Apr 21st, 2016 - about 8 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 1578686432 NPPES
Illinois MEDICAID 036054624

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