Individual
FADI A HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 W ADDISON ST, SUITE 305, CHICAGO, IL 60634-4401
(773) 725-0760
(773) 725-3499
Mailing address
5600 W ADDISON ST, SUITE 305, CHICAGO, IL 60634-4401
(773) 725-0760
(773) 725-3499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01084503A
IN
208800000X
Urology Physician
Primary
036085999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300048939
—
IN
01
—
815500439
MEDICARE PTAN
IN
Enumeration date
05/26/2006
Last updated
04/10/2024
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