Organization
FADI A HABIB MD FRCSC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI A HABIB MD (UROLOGIST)
(773) 725-0760
Entity
Organization
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
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607486
BCBS PROVIDER NUMBER
IL
Enumeration date
04/04/2007
Last updated
08/22/2020
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