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Contact Information

ILJA FAIBUSSOWITSCH, MD
2800 N SHERIDAN RD
SUITE 301
CHICAGO, IL60657-6156
 Phone: 773-935-5556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ILJA FAIBUSSOWITSCH · (Male)

NPI Number 1740220193
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 10/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 55021
  • IL License # 036094678
  • IL Medicaid 036094678
Hospital affiliation(s)
  • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER - (Acute Care)
    836 WEST WELLINGTON AVENUE
    CHICAGO, IL 60657
  • ADVOCATE LUTHERAN GENERAL HOSPITAL - (Acute Care)
    1775 DEMPSTER ST
    PARK RIDGE, IL 60068
  • NORTHWEST COMMUNITY HOSPITAL - (Acute Care)
    800 W CENTRAL ROAD
    ARLINGTON HEIGHTS, IL 60005
  • OUR LADY OF THE RESURRECTION MED CTR - (Acute Care)
    5645 W ADDISON
    CHICAGO, IL 60634
  • RESURRECTION MEDICAL CENTER - (Acute Care)
    7435 W TALCOTT AVENUE
    CHICAGO, IL 60631
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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