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General NPI Number Information
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NPI Number | 1376749341
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Entity Type | Individual
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Provider Name | FAHHAD FARUKHI MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 410 N MICHIGAN AVE STE 1020
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City | CHICAGO
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State | IL
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Zip | 60611-4241
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Country | US
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Telephone | 847-809-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 481 SAUNDERS RD
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City | LAKE FOREST
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State | IL
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Zip | 60045-2566
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Country | US
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Telephone | 847-809-6862
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036130008
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.012657
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036130008
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License Number State | IL
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