DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1619950060

NPI Code Detail

MEDICARE: FARRUKH A KUREISHY MD

MEDICARE: FARRUKH A KUREISHY MD

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	207R00000X	Internal Medicine Physician	036101594	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	601024200	OTHER		US DEPT OF LABOR
3	02032003	OTHER	IL	BLUE CROSS BLUE SHIELD
4	101594	OTHER		OSF HEALTHPLANS
5	450314	OTHER		HEALTHLINK
6	056153	OTHER		HEALTH ALLIANCE
7	2191466	OTHER		UNITED HEALTHCARE
8	7732279	OTHER		AETNA

General Provider Information

NPI Number	:	1619950060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARRUKH A KUREISHY MD

Provider Business Mailing Address
First Line	:	422 W WHITE ST
Second Line	:
City	:	CLINTON
State	:	IL
Zip	:	61727-2272
Country	:	US
Telephone Number	:	217-935-9571
Fax Number	:	217-935-7603

Provider Business Practice Location Address
First Line	:	422 W WHITE ST
Second Line	:
City	:	CLINTON
State	:	IL
Zip	:	61727-2272
Country	:	US
Telephone Number	:	217-935-9571
Fax Number	:	217-935-7603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	09/30/2020

Similar Medicare Providers

1043270473 — ANNILEE ROHRSCHEIB MD
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-937-5284
Practice Fax:

1992732879 — DR. RAJPAL DALAL M.D.
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-935-9570
Practice Fax:

1942238787 — DR. RANDOLPH CHRISTIANSON M.D.
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-935-9570
Practice Fax:

1770509671 — SUBRAMANIAM KOLANDAIVELU M.D.
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-935-3706
Practice Fax:

1689765497 — DR. CHARLES D SIMS M.D.
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-935-9570
Practice Fax:

1235211301 — CITY OF CLINTON
Practice Location Address:

422 W WHITE ST
CLINTON, IL
61727-2272

Practice Phone: 217-935-9571
Practice Fax: 217-937-5262

Directions to “ FARRUKH A KUREISHY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.