ILJA FAIBUSSOWITSCH MD – NPI #1740220193
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

ILJA FAIBUSSOWITSCH is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1740220193 to ILJA FAIBUSSOWITSCH on June 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 8 years ago on Oct 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ILJA FAIBUSSOWITSCH below.

NPI Profile for
ILJA FAIBUSSOWITSCH

NPI Number
1740220193
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ILJA FAIBUSSOWITSCH
Credentials
MD
Primary location
2800 N SHERIDAN RD
SUITE 301
CHICAGO, IL 60657-6156
Phone: (773) 935-5556 Fax:
1 Other location(s):
3155 E Southern Ave Ste 201
Mesa, AZ 85204-5521
Phone: (480) 655-8040 Ext: 206
Fax: (480) 655-1640
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for ILJA FAIBUSSOWITSCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036094678
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 AZ 55021
207RS0012X
- Internal Medicine / Sleep Medicine		 AZ 55021
207RC0200X
- Internal Medicine / Critical Care Medicine		 AZ 55021

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ILJA FAIBUSSOWITSCH is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
      836 WEST WELLINGTON AVENUE
      CHICAGO, IL 60657
    • ADVOCATE LUTHERAN GENERAL HOSPITAL
      1775 DEMPSTER ST
      PARK RIDGE, IL 60068
    • AMITA HEALTH RESURRECTION MEDICAL CENTER
      7435 W TALCOTT AVENUE
      CHICAGO, IL 60631
    • COMMUNITY FIRST MEDICAL CENTER
      5645 W ADDISON STREET
      CHICAGO, IL 60634
    • NORTHWEST COMMUNITY HOSPITAL 1
      800 W CENTRAL ROAD
      ARLINGTON HEIGHTS, IL 60005

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