Ghouse, Fowzia S

Ghouse, Fowzia S is an sole proprietor health care provider with primary practice located at 1331 W 75Th St Ste 202 , Naperville IL 60540-9311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ghouse, Fowzia S can be contacted via phone (630) 922-1400.

Contact Information

Primary practice address
1331 W 75Th St Ste 202 Naperville IL 60540-9311
Fax: (630) 904-7378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036096076 Illinois

Profile Details

NPI number 1215923826
LBN Legal business name Ghouse, Fowzia S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Dec 16th, 2020 - about 5 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 1215923826 NPPES
Illinois MEDICAID 036096076

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