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NPI Code Detail

MEDICARE: DR. EMAD FOROOHAR M.D.

MEDICARE: DR. EMAD FOROOHAR M.D.
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
1207P00000XEmergency Medicine PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932189206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMAD FOROOHAR M.D.
Provider Business Mailing Address
First Line : 17800 KEDZIE AVE
Second Line : EMERGENCY DEPARTMENT
City : HAZEL CREST
State : IL
Zip : 60429-2029
Country : US
Telephone Number : 776-363-1090
Fax Number :
Provider Business Practice Location Address
First Line : 17800 KEDZIE AVE
Second Line : EMERGENCY DEPARTMENT
City : HAZEL CREST
State : IL
Zip : 60429-2029
Country : US
Telephone Number : 776-363-1090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 04/14/2008

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Directions to “ DR. EMAD FOROOHAR M.D.” Practice Location

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