Fortsas, Michael

Fortsas, Michael is an individual health care provider with primary practice located at 400 W Northwest Hwy , Barrington IL 60010-3049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fortsas, Michael can be contacted via phone (847) 382-4600.

Contact Information

Primary practice address
400 W Northwest Hwy Barrington IL 60010-3049
Phone: (847) 382-4600
Fax: (847) 382-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036090812 Illinois

Profile Details

NPI number 1497764518
LBN Legal business name Fortsas, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 22nd, 2021 - about 5 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 1497764518 NPPES
Illinois MEDICAID 036090812

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