MEDICARE: FARAMARZ SALIMI MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		IL

General Provider Information

NPI Number	:	1518909399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARAMARZ SALIMI MD SC

Provider Business Mailing Address
First Line	:	6420 LYONS ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1421
Country	:	US
Telephone Number	:	773-778-8247
Fax Number	:	312-791-8359

Provider Business Practice Location Address
First Line	:	2800 S VERNON AVE
Second Line	:	3RD FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60616-3557
Country	:	US
Telephone Number	:	312-791-2876
Fax Number	:	312-792-8359

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FARAMARZ SALIMI
Credential	:	MD
Telephone Number	:	773-778-8247

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/22/2020

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