Active NPI
Faour Alshare
- Gerontology Nurse Practitioner
- Rockford, IL
National Provider Identifier
1063374080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 041509622
- Practice address
- 7346 Shillington Dr
Rockford, IL 61107-2792 - Phone
- (864) 542-4495
- NPI assigned
- Nov 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 041509622 | IL | Primary |
Addresses
Primary practice location
7346 Shillington Dr
Rockford, IL 61107-2792
Mailing address
7346 Shillington Dr
Rockford, IL 61107-2792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041509622 | IL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1063374080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7346 SHILLINGTON DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7346 SHILLINGTON DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072792",
"telephone_number": "864-542-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSHARE",
"first_name": "FAOUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-28",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "041509622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.