Individual provider · NPI-1

Feras Bankosly, MD

Hospitalist · Elmhurst, IL

NPI number1891785044
StatusActive
Last updated in NPPESOct 24, 2018

Details

NPI
1891785044
Entity type
Individual (NPI-1)
Name
Feras Bankosly
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 27, 2005
Last updated
Oct 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist036113599ILYes
207R00000X Internal Medicine036113599IL

Practice location

155 E Brush Hill Rd
Elmhurst, IL 60126

Phone 331-221-8952 · Fax 331-221-3782

Mailing address

172 Schiller St
Elmhurst, IL 60126

Phone 331-221-6377 · Fax 331-221-2706

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