NPI 1003107962
Philip Cyrus Fanapour, DO
Practice location
- Address
- 3001 Green Bay Rd, North Chicago, IL 60064-3048
- Phone
- (224) 610-1900
Registered specialties (2)
Critical Care Medicine (Anesthesiology) Physician
Primary
Anesthesiology Physician
Registry record
- NPI
- 1003107962
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Apr 2011
- Record last updated
- 10 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.