Hashemi Fakouri, Farah

Hashemi Fakouri, Farah is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Hashemi Fakouri, Farah can be contacted via phone (630) 933-1199.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Fax: (630) 933-4558
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 101311 Wisconsin
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036089264 Illinois

Profile Details

NPI number 1790893881
LBN Legal business name Hashemi Fakouri, Farah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 16th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790893881 NPPES
Illinois MEDICAID 036089264
Illinois Other K53368
Illinois Other P00708155
Illinois Other 206147

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