Individual
FAIZAN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 RIVERSIDE DR, BOURBONNAIS, IL 60914-4607
(815) 802-7090
Mailing address
100 RIVERSIDE DR, BOURBONNAIS, IL 60914-4607
(815) 802-7090
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01005835
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
04/17/2023
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