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Individual

DR. JAN H. FAIBISOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 674-7501
(847) 674-7512
Mailing address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 674-7501
(847) 674-7512

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036057642
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036057642
IL
Enumeration date
07/10/2006
Last updated
01/27/2010
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