Active NPI
Comfort Health Network SC
- Internal Medicine Physician
- Skokie, IL
National Provider Identifier
1245483197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036112672
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.