MEDICARE: DR. FARAH DIBA CIFTCI 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	281P00000X	Chronic Disease Hospital	036123791	IL
2	174400000X	Specialist	036.123791	IL
3	207R00000X	Internal Medicine Physician	036123791	IL
4	282N00000X	General Acute Care Hospital	036123791	IL
5	208M00000X	Hospitalist Physician	036123791	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	F400416637	OTHER	IL	MEDICARE INDIVIDUAL
4	206147	OTHER	IL	MEDICARE GROUP

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902135668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARAH DIBA CIFTCI MD

Provider Business Mailing Address
First Line	:	2434 N SPAULDING AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1295
Country	:	US
Telephone Number	:	630-933-4700
Fax Number	:

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

Provider Enumeration Date	:	12/09/2009
Last Update Date	:	06/19/2026

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