Fortsas, Michael
Fortsas, Michael is an individual health care provider with primary practice located at 400 W Northwest Hwy , Barrington IL 60010-3049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fortsas, Michael can be contacted via phone (847) 382-4600.Contact Information
Primary practice address
400 W Northwest Hwy
Barrington IL 60010-3049
Phone: (847) 382-4600
Fax: (847) 382-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036090812 | Illinois |
Profile Details
| NPI number | 1497764518 |
|---|---|
| LBN Legal business name | Fortsas, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497764518 | NPPES |
| Illinois | MEDICAID | 036090812 |
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