Fazillah Faiz, PA-C

NPI #1093359150 in Swansea, Illinois

Provider Information

NPI Number: 1093359150
Entity Type: Individual
Name: Fazillah Faiz, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 1, 2019
Last Updated: Feb 13, 2023

Practice Location

Address: 4000 N ILLINOIS LN
City: Swansea
State: Illinois
ZIP Code: 62226-1969
Phone: (618) 257-6380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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