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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARK A FAASSE, MD
225 E CHICAGO AVE
BOX 24
CHICAGO, IL60611
 Phone: 312-227-6340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MARK A FAASSE · (Male)

NPI # 1003025651
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 09/18/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036133740
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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