Individual
DR. DANIEL O FAISAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(630) 589-4030
(630) 241-1543
Mailing address
5594 S OAK ST, HINSDALE, IL 60521-5017
(630) 589-4030
(630) 241-1543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-054624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054624
—
IL
Enumeration date
04/07/2007
Last updated
04/21/2016
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