Dr. Philip Cyrus Fanapour
Anesthesiologist
3001 Green Bay Rd
North Chicago
, Illinois 60064-3048
Dr. Philip Cyrus Fanapour
Anesthesiologist
3001 Green Bay Rd
North Chicago
, Illinois 60064-3048
(224) 610-1900
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Philip Cyrus Fanapour
- 3001 Green Bay Rd
- North Chicago, IL
- Zip : 60064-3048
- Phone : (224) 610-1900
Second Address
- Dr. Philip Cyrus Fanapour
- 3001 Green Bay Rd
- North Chicago, IL
- Zip : 60064-3048
- Phone : (224) 610-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 036139602 | IL |
National Provider Identifier
| NPI | 1003107962 |
|---|---|
| Provider Name | Dr. Philip Cyrus Fanapour |
| First Address | North Chicago, IL 60064-3048 |
| Second Address | North Chicago, IL 60064-3048 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2011 |
| Last Update Date | 01/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.