Ahmad Farhoud

Individual provider Active NPI Driver · Orland Park, IL

NPI 1629863568 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1629863568
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
10444 Buck Dr
Orland Park, IL 60467-9014
Phone
(708) 856-7176
NPI assigned
Apr 11, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

10444 Buck Dr
Orland Park, IL 60467-9014

Mailing address

10444 Buck Dr
Orland Park, IL 60467-9014
Phone (708) 856-7176

Other providers in Orland Park, IL

All providers in Orland Park, IL · Driver in Illinois

Sources for this page

Verify at the official NPI Registry.