Individual
JUSTIN A FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 908-4650
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 908-4650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58022
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036142645
IL
207RP1001X
Pulmonary Disease Physician
Primary
036142645
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036142645
IL
Other
Enumeration date
06/17/2013
Last updated
08/27/2021
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