Active NPI
Farah Ghous, D.O.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036150231
- Practice address
- 2734 W 87TH St
Chicago, IL 60652-3937 - Phone
- (773) 918-4700
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036150231 | IL | Primary |
Addresses
Primary practice location
2734 W 87TH St
Chicago, IL 60652-3937
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
160 Sycamore Ave
Streamwood, IL 60107-3158
Phone (847) 693-1253
Other practice location 2
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
Other practice location 3
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1588018337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523937",
"telephone_number": "773-918-4700"
}
],
"practiceLocations": [
{
"address_1": "160 Sycamore Ave",
"address_purpose": "LOCATION",
"city": "Streamwood",
"state": "IL",
"postal_code": "601073158",
"country_code": "US",
"telephone_number": "847-693-1253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6101 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "60453",
"country_code": "US",
"telephone_number": "708-261-0831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6101 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "60453",
"country_code": "US",
"telephone_number": "708-261-0831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHOUS",
"first_name": "FARAH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036150231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.