Individual provider Active NPI

Faheem Unisa Syed, APNP

  • Family Nurse Practitioner
  • Deer Park, IL
National Provider Identifier
1649719618
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.015658 Issued in IL
Practice address
21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone
(415) 840-0560
NPI assigned
Feb 23, 2017
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1561433 WI
Family Nurse Practitioner 363LF0000X 209.015658 IL Primary
Family Nurse Practitioner 363LF0000X 209015658 IL

Addresses

Primary practice location

21660 W Field Pkwy
Deer Park, IL 60010-7265

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

790 N Milwaukee St Ste 313
Milwaukee, WI 53202-4148
Phone (415) 840-0560

Other names 1

  • Faheem Unisa Abro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727000072 IL Practitioner - Nurse Practitioner 9638449499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7247 Mullinshire Way
Machesney Park, IL 61115-7606

9900 Westpark Dr
Suite 226
Houston, TX 77063-5286

Merit-based Incentive Payment System (MIPS)

Final score
70.68 of 100Reported as group
Quality
77.6
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1561433WIMDNurse Practitioner
209.015658ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA Multi-Specialty CurrentSince May 14, 2025 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803

790 N Milwaukee St
Ste 313
Milwaukee, WI 53202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1649719618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 W FIELD PKWY",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107265",
            "telephone_number": "415-840-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 N Milwaukee St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024148",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "FAHEEM",
        "middle_name": "UNISA",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1561433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015658",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAHEEM",
            "last_name": "ABRO",
            "middle_name": "UNISA",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deer Park, IL

Sources for this page

Verify at the official NPI Registry.