Fidai, Gulzar

Fidai, Gulzar is an sole proprietor health care provider with primary practice located at 1710 N Randall Rd 380, Elgin IL 60123-4902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fidai, Gulzar can be contacted via phone (847) 741-9800.

Contact Information

Primary practice address
1710 N Randall Rd 380 Elgin IL 60123-4902
Fax: (847) 741-3058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036085843 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 531 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036085843 Illinois

Profile Details

NPI number 1851398218
LBN Legal business name Fidai, Gulzar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated May 3rd, 2021 - about 3 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 1851398218 NPPES
Illinois MEDICAID 036085843

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