Individual
FAISAL AMDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5140 N CALIFORNIA AVE, MEDICAL EDUCATION, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
5140 N CALIFORNIA AVE, SUITE 645, CHICAGO, IL 60625-3645
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036127140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125050836
125050836
IL
Enumeration date
07/20/2007
Last updated
10/11/2013
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