Active NPI
Faminamed Healthcare Providers S.C
- Health Maintenance Organization
- Skokie, IL
National Provider Identifier
1427222181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 036.118695
- Legal business name
- FAMINAMED HEALTHCARE PROVIDERS S.C
- Practice address
- 5021 Carol St
Ste 1F
Skokie, IL 60077-2202 - Phone
- (312) 590-8742
- NPI assigned
- Apr 14, 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. Farooq Masood Ahmed, M.D
- Title
- President/ Ceo
- Phone
- (312) 590-8742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 036.118695 | IL | Primary |
Addresses
Primary practice location
5021 Carol St
Ste 1F
Skokie, IL 60077-2202
Mailing address
5021 Carol St
Ste 1F
Skokie, IL 60077-2202
Phone (312) 590-8742
National Provider Directory
National Provider Directory- Tax ID family
- Faminamed Healthcare Providers SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Geriatric Medicine (Family Medicine) Physician
- Morton Grove, IL
- NPI 1831337401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Skokie, IL
- NPI 1275553240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1427222181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 CAROL ST",
"address_2": "STE 1F",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772202",
"telephone_number": "312-590-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 CAROL ST",
"address_2": "STE 1F",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772202",
"telephone_number": "312-590-8742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMINAMED HEALTHCARE PROVIDERS S.C",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "FAROOQ",
"authorized_official_middle_name": "MASOOD",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "312-590-8742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "IL",
"license": "036.118695",
"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 Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.