Farzeen Anwar, PA-C
Individual provider Active NPI Physician Assistant · East Dundee, IL
NPI 1013059534 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1013059534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-002632 (IL)
- Practice address
- 511 Dundee Ave
East Dundee, IL 60118-1642 - Phone
- (847) 844-3274
- Fax
- (847) 844-3275
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dupage Medical Group LTD
Woodridge Clinic SC
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (888) 385-9669
1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
7530 Woodward Ave
Suite a
Woodridge, IL 60517-3100
Phone (630) 910-1177
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120523000150 | IL | Practitioner - Physician Assistant | 1153584578 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002632 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Woodridgeclinic S.C | Current |
Accepting new patients | |
| Edward Health Ventures | Current |
Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients |
Locations
3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598
15884 W 127th St
Ste H
Lemont, IL 60439
Phone (630) 754-8710
805 S Main St
Lombard, IL 60148
Phone (630) 495-2333
24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000
27555 Diehl Rd
Warrenville, IL 60555
Phone (630) 646-3950
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
7530 Woodward Ave
Ste A
Woodridge, IL 60517
Phone (630) 910-1177
7530 Woodward Ave
Woodridge, IL 60517
Phone (630) 427-1500
Interoperability endpoints
- fanwar252468@direct.myadvocateaurora.org
- https://fhir4.healow.com/fhir/r4/ECFAAA/Endpoint/ECFAAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-002632 | IL | Yes |
Addresses
Primary practice location
511 Dundee Ave
East Dundee, IL 60118-1642
Mailing address
4066 Boulder CT
Aurora, IL 60504-5487
Phone (630) 215-5719
Other providers in East Dundee, IL
- 7 Hills Healthcare Center P.C.
- 7 Hills Healthcare Center, P.C.
- 7 Hills Integrated Health Home
- Advanced Center for Endoscopy
- Faiza A Ahmed
- Aquatic Therapy and Wellness P.C.
- Ena Arroyo
- Aunt Martha'S Youth Service Center
- Kanahi Beathea
- Nikkia Jeanique Bell
All providers in East Dundee, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.