Individual provider Active NPI

Farah Tazeen, M.D.

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1447446257
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036118381 Issued in IL
Practice address
1300 S Main St Ste O
Lombard, IL 60148-4526
Phone
(630) 785-3255
NPI assigned
Sep 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036.118381 IL
Internal Medicine Physician 207R00000X 036118381 IL Primary

Addresses

Primary practice location

1300 S Main St Ste O
Lombard, IL 60148-4526

Mailing address

23 W Madison St
Villa Park, IL 60181-3018
Phone (630) 785-3255

Other practice location 1

6346 N Talman Ave
Chicago, IL 60659-1898
Phone (630) 785-3255

Other practice location 2

3425 W Peterson Ave Ste 107
Chicago, IL 60659-3443
Phone (630) 785-3255

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
I20071114000094 IL Practitioner - Internal MedicinePractitioner - Rheumatology 1153419866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 W Madison St
Villa Park, IL 60181-3018
Phone (630) 991-0072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118381ILMDInternal Medicine Physician
036.118381ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eman Medical SC CurrentSince Dec 13, 2008 Accepting new patients
Multispecialty Medical Center LTD Past Accepting new patients
Beverly Knigge Medical SC PastSince Dec 30, 2013 Accepting new patients

Locations

6350 N Western Ave
Chicago, IL 60659
Phone (630) 785-3255

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

929 S Main St
Ste 102
Lombard, IL 60148
Phone (630) 785-3255

1300 S Main St
Ste O
Lombard, IL 60148
Phone (630) 785-3255

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1S161 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 889-8922

1S085 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 629-6700

Interoperability endpoints

  • Direct secure messaging: farah.tazeen.1@20867.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1447446257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W MADISON ST",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813018",
            "telephone_number": "630-785-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST STE O",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484526",
            "telephone_number": "630-785-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6346 N Talman Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606591898",
            "country_code": "US",
            "telephone_number": "630-785-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 W Peterson Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593443",
            "country_code": "US",
            "telephone_number": "630-785-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZEEN",
        "first_name": "FARAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036.118381",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036118381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.