Active NPI
Fahhad Farukhi MD
- Internal Medicine Physician
- Lake Forest, IL
National Provider Identifier
1639815525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hospitalist Physician | 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 DirectoryNPI 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.