Healthcare Provider Details

I. General information

NPI: 1598091472
Provider Name (Legal Business Name): FITSEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 S ROSELLE RD STE 201
SCHAUMBURG IL
60193-5539
US

IV. Provider business mailing address

129 S ROSELLE RD STE 201
SCHAUMBURG IL
60193-5539
US

V. Phone/Fax

Practice location:
  • Phone: 847-894-2624
  • Fax:
Mailing address:
  • Phone: 847-894-2624
  • Fax: 224-520-8045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number036113984
License Number StateIL

VIII. Authorized Official

Name: TSEGHAI BEHRE
Title or Position: OWNER
Credential: MD
Phone: 847-894-2624