NPIMap

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
Last updated
Aug 17, 2026By the provider in NPPES
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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

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
Niles, IL 60714
Phone (847) 430-3590

8118 N Milwaukee Ave
Ste 108
Niles, IL 60714
Phone (847) 903-4986

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.

  • Elevate Care Niles LLC

    dba Elevate Care Niles

    • Skilled Nursing Facility
    • Niles, IL
    • NPI 1568027803

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.