Fasehun, Taiwo M
Fasehun, Taiwo M is an sole proprietor health care provider with primary practice located at 3625 Municipal Dr , Mchenry IL 60050-5434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fasehun, Taiwo M can be contacted via phone (815) 385-8560.Contact Information
Primary practice address
3625 Municipal Dr
Mchenry IL 60050-5434
Phone: (815) 385-8560
Fax: (815) 385-8568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036087368 | Illinois |
Profile Details
| NPI number | 1902832397 |
|---|---|
| LBN Legal business name | Fasehun, Taiwo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Apr 29th, 2011 - about 13 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 | 1902832397 | NPPES |
| Illinois | MEDICAID | 036087368 |
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