Fakhruddin, Atif

Fakhruddin, Atif is an individual health care provider with primary practice located at 80 Templeton Dr , Oswego IL 60543-7000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fakhruddin, Atif can be contacted via phone (630) 554-3456.

Contact Information

Primary practice address
80 Templeton Dr Oswego IL 60543-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 36116035 Illinois

Profile Details

NPI number 1952349516
LBN Legal business name Fakhruddin, Atif
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 22nd, 2021 - about 4 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 1952349516 NPPES
Illinois MEDICAID 036116035

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