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
Phone: (630) 933-1199
Fax: (630) 933-4558
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790893881 | NPPES |
Illinois | MEDICAID | 036089264 | |
Illinois | Other | K53368 | |
Illinois | Other | P00708155 | |
Illinois | Other | 206147 |
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