DR. PHILIP CYRUS FANAPOUR DO
NPI 1003107962
Anesthesiology - Critical Care Medicine in North Chicago, IL

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(224) 610-1900 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2024, Aug 1, 2019 (2 updates tracked since 2019).

About Dr. Philip Cyrus Fanapour Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP CYRUS FANAPOUR DO (NPI 1003107962) is an individual critical care medicine provider in North Chicago, Illinois, licensed in Illinois (036139602) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1003107962
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. PHILIP CYRUS FANAPOURCredential: DO
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address3001 Green Bay RdNorth Chicago, IL 60064-3048 · (224) 610-1900
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1003107962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License Licensed in IL · 036139602
Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 036139602 (IL)
3001 GREEN BAY RD, North Chicago, IL 60064

Secondary Practice Location 1

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-2210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Cyrus Fanapour Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749412732
PECOS Enrollment IDI20161004002925
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Pharmacist (Pharmacotherapy)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Fanapour's NPI number?

The NPI number for Philip Fanapour is 1003107962. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Philip Fanapour located?

Philip Fanapour practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (224) 610-1900.

What is Philip Fanapour's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Philip Fanapour enrolled in Medicare?

Yes. Philip Fanapour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Philip Fanapour affiliated with any hospitals?

According to CMS data, Philip Fanapour is affiliated with Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Philip Fanapour was last updated on July 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.