Provider Demographics
NPI:1942474317
Name:EL DJOUZI, SOFIANE (MD, MS, MBA, FACS)
Entity type:Individual
Prefix:DR
First Name:SOFIANE
Middle Name:
Last Name:EL DJOUZI
Suffix:
Gender:M
Credentials:MD, MS, MBA, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 83RD ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5612
Mailing Address - Country:US
Mailing Address - Phone:773-365-1300
Mailing Address - Fax:773-365-1515
Practice Address - Street 1:2821 83RD ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5612
Practice Address - Country:US
Practice Address - Phone:773-365-1300
Practice Address - Fax:773-365-1515
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036141744208600000X
IL125-052021208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery