Individual provider Active NPI

Fanan Mustafa Falouji, M.D.

  • Internal Medicine Physician
  • Niles, IL
National Provider Identifier
1306855481
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-096519 Issued in IL
Practice address
8118 N Milwaukee Ave Ste 108
Niles, IL 60714-2836
Phone
(847) 903-4986
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-096519 IL Primary

Addresses

Primary practice location

8118 N Milwaukee Ave Ste 108
Niles, IL 60714-2836

Mailing address

92 Riverside Dr
Deerfield, IL 60015-4868
Phone (847) 903-4986

Other identifiers 1

IdentifierTypeStateIssuer
036096519MedicaidIL

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
I20031111000179 IL Practitioner - Internal Medicine 8820901325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8118 N Milwaukee Ave
Niles, IL 60714-2817
Phone (847) 573-9006

Hospital & facility affiliations

  • Advocate Hospice Hospice, Oak Brook, IL, CCN 141516
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011
  • Elevate Care Niles Nursing home, Niles, IL, CCN 145662
  • Rivaya Care of Des Plaines Nursing home, Des Plaines, IL, CCN 145334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-096519ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Medical Practice LTD Internal Medicine CurrentSince Jan 31, 2007 Accepting new patients

Locations

755 S Milwaukee Ave
Ste 175
Libertyville, IL 60048
Phone (847) 680-7002

8118 N Milwaukee Ave
Ste 108
Niles, IL 60714

8118 N Milwaukee Ave
Niles, IL 60714
Phone (847) 430-3590

Interoperability endpoints

  • Direct secure messaging: ffalouji237804@direct.myadvocateaurora.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elevate Care NilesNiles, IL, CCN 145662 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Dec 1, 2019
Dec 1, 2019
Dec 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1306855481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 RIVERSIDE DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154868",
            "telephone_number": "847-903-4986",
            "fax_number": "847-940-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 N MILWAUKEE AVE STE 108",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142836",
            "telephone_number": "847-903-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALOUJI",
        "first_name": "FANAN",
        "middle_name": "MUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-096519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.