Fan, Di

Fan, Di is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste 201B , Elk Grove Village IL 60007-3372. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fan, Di can be contacted via phone (847) 593-8460.

Contact Information

Primary practice address
800 Biesterfield Rd Ste 201B Elk Grove Village IL 60007-3372
Phone: (847) 593-8460
Fax: (224) 235-4652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036123598 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD038009 District of Columbia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036123598 Illinois

Profile Details

NPI number 1023245693
LBN Legal business name Fan, Di
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Nov 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 1023245693 NPPES
Illinois MEDICAID 036123598
Illinois Other MD038009

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