Provider Demographics
NPI:1023472834
Name:CHAUS, FAHAD (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:FAHAD
Middle Name:
Last Name:CHAUS
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 FLETCHER DR STE 301
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4750
Mailing Address - Country:US
Mailing Address - Phone:847-741-0398
Mailing Address - Fax:847-741-0549
Practice Address - Street 1:745 FLETCHER DR STE 301
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4750
Practice Address - Country:US
Practice Address - Phone:847-741-0398
Practice Address - Fax:847-741-0549
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR75450208800000X
IL036-157480208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology