Foosaner, David E

Foosaner, David E is an individual health care provider with primary practice located at 801 S Milwaukee Rd , Libertyville IL 60048-3199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Foosaner, David E can be contacted via phone (847) 362-2900.

Contact Information

Primary practice address
801 S Milwaukee Rd Libertyville IL 60048-3199
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1467470815
LBN Legal business name Foosaner, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467470815 NPPES
Illinois MEDICAID 0360864183

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