Individual
DR. MICHAEL FAYAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
11 S GREEN ST UNIT 513, CHICAGO, IL 60607-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.161841
IL
207RG0100X
Gastroenterology Physician
Primary
036.161841
IL
Other
Enumeration date
03/25/2020
Last updated
06/29/2023
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