Individual provider Active NPI

Farzana Alam, M.D.

  • Psychiatry Physician
  • Streamwood, IL
National Provider Identifier
1124438346
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
67004-20 Issued in IL
Practice address
1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone
(630) 837-3708
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 67004-20 IL Primary

Addresses

Primary practice location

1400 E Irving Park Rd
Streamwood, IL 60107-3201

Mailing address

41 Baybrook LN
Oak Brook, IL 60523-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905001500 IL Practitioner - Psychiatry 3173852878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
BHC Streamwood Hospital IncGroup PAC ID 1759291461, 13 clinicians

Practice addresses (Care Compare)

1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (630) 837-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67004-20ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Streamwood Hospital Inc. CurrentSince Aug 5, 2019 Accepting new patients

Locations

1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1124438346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BAYBROOK LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073201",
            "telephone_number": "630-837-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "FARZANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "67004-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

Verify at the official NPI Registry.