Individual
DR. CARLOS FARES BECHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036142655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342564701
—
TX
05
—
342564702
—
TX
01
—
8GD852
BCBS
TX
Enumeration date
02/02/2008
Last updated
01/13/2025
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