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Contact Information

YAZAN FAHMAWI, MD
1340 CHARLES ST STE 405
ROCKFORD, IL61104-2200
 Phone: 779-696-6102
 Fax: 779-696-6026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for YAZAN FAHMAWI · (Male)

NPI # 1760978910
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2018
Last updated 04/14/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • AL License # MD.42858
  • IL License # 036-167640
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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