NPI 1235261264

John Paul Federbusch, MD

Practitioner Phlebology Physician Chicago, IL

Practice location

Address: 2333 W Irving Park Rd, Chicago, IL 60618
Phone: (773) 506-7340
Fax: (773) 506-7341
Mailing address: 832 W Oakdale Ave APT 3f, Chicago, IL 60657-5111

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 036056863 (IL)

Other Phlebology providers in Illinois →

Registry record

NPI: 1235261264
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2007
Record last updated: 29 Jul 2014

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.