Khasawneh, Faris

Khasawneh, Faris is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Khasawneh, Faris can be contacted via phone (708) 923-4000.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1290
Phone: (708) 923-4000
Fax: (708) 923-5859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50327 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 50327 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036117597 Illinois

Profile Details

NPI number 1831374594
LBN Legal business name Khasawneh, Faris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Oct 10th, 2023 - about last year

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 1831374594 NPPES
Illinois Other F400276487 MEDICARE PTAN

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