IndividualActive
Philip Fanapour, DO
NPI 1003107962 · Critical Care Medicine (Anesthesiology) Physician · North Chicago, IL
Provider details
- NPI number
- 1003107962
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036139602 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone: (224) 610-1900
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Green Bay Rd
North Chicago, IL 60064-3048
Additional practice locations (1)
- 1775 Dempster StPark Ridge, IL 60068-1143Phone: (847) 723-2210
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.