Individual
DR. FAHEEM M JESANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-118465
IL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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