Farozan Islam, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036113903 Issued in IL

Practice address

2803 Butterfield Rd Ste 200
Oak Brook, IL 60523-1165

Phone

(630) 424-9204

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Midwestern University, Chicago College of Osteopathic Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oakbrook Behavioral Health LTDGroup PAC ID 5496740789, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Oakbrook Behavioral Health LTD

  • Psychiatry Physician
  • Downers Grove, IL
  • NPI 1235235730
  Medicare reassignment Care Compare group NPD
• Khadija Khan MDSC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
  • NPI 1831829126
  NPD
• Preventative Mental Healthcare Services

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1407984131
  NPD (past)
• Synergos P.C.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1609882422
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1750426540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5970",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815312",
            "telephone_number": "630-424-9482",
            "fax_number": "630-424-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD RD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231165",
            "telephone_number": "630-424-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "FAROZAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036113903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Associates, LTD
• Interventional Pain Consultants
• Interventional Pain Consultants, SC
• Invisible Sun LLC
• Nasir Iqbal, MD
• Zaid Waleed Jabbar, M.D.
• Sara B Jackson, DAOM, LAC.
• Vanessa Ann Jacobsen, PHARMD
• Helene A Jacques, LCPC
• Kianoosh Jafari, M.D.

• Psychiatry Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.