Fargotstein, Alyssa Kahan

Fargotstein, Alyssa Kahan is an individual health care provider with primary practice located at 1051 W Rand Rd Ste 101 , Arlington Heights IL 60004-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fargotstein, Alyssa Kahan can be contacted via phone (847) 221-4900.

Contact Information

Primary practice address
1051 W Rand Rd Ste 101 Arlington Heights IL 60004-2315
Phone: (847) 221-4900
Fax: (847) 221-4996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 125.072245 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036156058 Illinois

Profile Details

NPI number 1649763624
LBN Legal business name Fargotstein, Alyssa Kahan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Sep 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649763624 NPPES
Illinois Other 036156058 STATE LICENSE

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