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Contact Information

PHILIP C FANAPOUR, DO
3001 GREEN BAY RD
NORTH CHICAGO, IL60064-3048
 Phone: 224-610-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PHILIP C FANAPOUR · (Male)

NPI Number 1003107962
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/27/2011
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036139602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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