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NPI Code Detail

MEDICARE: DR. FARAH FAIZAN MD

MEDICARE: DR. FARAH FAIZAN 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
1208M00000XHospitalist Physician036.166867IL
2207R00000XInternal Medicine Physician036.166867IL
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1265060990
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARAH FAIZAN MD
Provider Business Mailing Address
First Line : 836 W WELLINGTON AVE STE 1312
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-296-7046
Fax Number :
Provider Business Practice Location Address
First Line : 836 W WELLINGTON AVE STE 1312
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-296-7046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 12/03/2025

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Directions to “ DR. FARAH FAIZAN MD” Practice Location

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