Healthcare Provider Details

I. General information

NPI: 1538749064
Provider Name (Legal Business Name): FARYAL JAFAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 HEALTHWAY DR
AURORA IL
60504-4163
US

IV. Provider business mailing address

28594 NETWORK PL
CHICAGO IL
60673-1285
US

V. Phone/Fax

Practice location:
  • Phone: 630-851-3105
  • Fax: 630-978-6692
Mailing address:
  • Phone: 630-859-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036169916
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: