Organization Active NPI

Fahhad Farukhi MD

  • Internal Medicine Physician
  • Lake Forest, IL
National Provider Identifier
1639815525
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAHHAD FARUKHI MD
Practice address
481 Saunders Rd
Lake Forest, IL 60045-2566
Phone
(847) 809-6862
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Fahhad Farukhi, MD
Title
Physician
Phone
(847) 809-6862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

481 Saunders Rd
Lake Forest, IL 60045-2566

Mailing address

481 Saunders Rd
Lake Forest, IL 60045-2566
Phone (847) 809-6862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1639815525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SAUNDERS RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452566",
            "telephone_number": "847-809-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SAUNDERS RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452566",
            "telephone_number": "847-809-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHHAD FARUKHI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "FARUKHI",
        "authorized_official_first_name": "FAHHAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-809-6862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.