Fawzi, Amani

Fawzi, Amani is an individual health care provider with primary practice located at 675 N Saint Clair St , Chicago IL 60611-5975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Fawzi, Amani can be contacted via phone (312) 695-8150.

Contact Information

Primary practice address
675 N Saint Clair St Chicago IL 60611-5975
Phone: (312) 695-8150
Fax: (312) 695-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036129455 Illinois

Profile Details

NPI number 1558416313
LBN Legal business name Fawzi, Amani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 24th, 2015 - about 10 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 1558416313 NPPES
California Other A80549 LICENSE
California MEDICAID 036129455 LICENSE
California Other 036129455 LICENSE

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