Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP CYRUS FANAPOUR, DO
Active Sole ProprietorDR. PHILIP CYRUS FANAPOUR, DO is a Critical Care Medicine (Anesthesiology) healthcare provider located in NORTH CHICAGO, Illinois. NPI 1003107962 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine (Anesthesiology) · NORTH CHICAGO, IL
Registration Details
- NPI Number
- 1003107962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2011 (15.33371013526 yrs)
- Last Updated
- Jul 10, 2024
- Licenses
-
036139602 (IL)036139602 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 GREEN BAY RDNORTH CHICAGO, IL, 600643048Browse IL providers · Browse ZIP 60064
- Phone
- 2246101900
- Primary Specialty
-
Critical Care Medicine (Anesthesiology)
207LC0200X
- Additional Specialty
- Critical Care Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.