Fazal, Shairoz A
Fazal, Shairoz A is an individual health care provider with primary practice located at 811 E.Butterfield Road Ste 111 , Wheaton IL 60187. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fazal, Shairoz A can be contacted via phone (630) 480-8591.Contact Information
Primary practice address
811 E.Butterfield Road Ste 111
Wheaton IL 60187
Phone: (630) 480-8591
Fax: (630) 480-8595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 047932457 | Illinois |
Profile Details
| NPI number | 1487867768 |
|---|---|
| LBN Legal business name | Fazal, Shairoz A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487867768 | NPPES |
| Illinois | Other | 204953491 | TAX ID |
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