Individual
DR. FADI ISA ISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
7857 HAMLET CT, CANTON, MI 48187-1268
(313) 608-4964
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016006137
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2022
Last updated
09/04/2025
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