Individual
ILJA FAIBUSSOWITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 301, CHICAGO, IL 60657-6156
(773) 935-5556
Mailing address
2800 N SHERIDAN RD, SUITE 301, CHICAGO, IL 60657-6156
(773) 935-5556
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55021
AZ
207RP1001X
Pulmonary Disease Physician
Primary
036094678
IL
207RP1001X
Pulmonary Disease Physician
55021
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
55021
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094678
—
IL
Enumeration date
06/07/2006
Last updated
10/30/2018
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