| Doctor Name: | DI FAN |
| NPI Number: | 1023245693 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036123598 |
| Business Practice Address: | 800 Biesterfield Rd Ste 201 Elk Grove Village, IL - 600073361 |
| Business Phone Number: | 8475938460 |
| Business Fax Number: | |
| Mailing Address: | 800 Biesterfield Rd, Ste 201 ELK GROVE VILLAGE |
| State: | IL |
| Postal Code: | 600073361 |
| Phone Number: | 8475938460 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2009 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036123598 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |