Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 036-157480 | IL |
N | 208800000X | Urologist | R75450 | AZ |
NPI | 1023472834 |
---|---|
Provider Name | Dr. Fahad Chaus |
First Address | Elgin, IL 60123-4750 |
Second Address | Elgin, IL 60123-4750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 09/11/2021 |