Organization Active NPI

Comfort Health Network SC

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1245483197
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036112672 Issued in IL
Legal business name
COMFORT HEALTH NETWORK SC
Practice address
8254 Kimball Avenue
Skokie, IL 60076-2976
Phone
(847) 752-0182
Fax
(847) 752-0185
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Ayesha Fareeduddin, M.D.
Title
President/Ceo
Phone
(847) 828-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036112672 IL Primary

Addresses

Primary practice location

8254 Kimball Avenue
Skokie, IL 60076-2976

Mailing address

8254 Kimball Avenue
Skokie, IL 60076-2976
Phone (847) 752-0182

National Provider Directory

National Provider Directory

Locations

6300 N California Ave
Chicago, IL 60659
Phone (773) 338-4244

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1245483197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 KIMBALL AVENUE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762976",
            "telephone_number": "847-752-0182",
            "fax_number": "847-752-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 KIMBALL AVENUE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762976",
            "telephone_number": "847-752-0182",
            "fax_number": "847-752-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT HEALTH NETWORK SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "FAREEDUDDIN",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-828-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.