Organization Active NPI

Eman Medical SC

  • Primary Care Clinic/Center
  • Lombard, IL
National Provider Identifier
1962663914
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036.118381 Issued in IL
Legal business name
EMAN MEDICAL SC
Practice address
1300 S Main St Ste O
Lombard, IL 60148-4526
Phone
(630) 785-3255
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Dr. Farah TazeenNPI 1447446257
Title
President
Phone
(630) 785-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X
Primary Care Clinic/Center 261QP2300X 036.118381 IL Primary

Addresses

Primary practice location

1300 S Main St Ste O
Lombard, IL 60148-4526

Mailing address

23 W Madison St
Villa Park, IL 60181-3018
Phone (630) 785-3255

Other practice location 1

6346 N Talman Ave
Chicago, IL 60659-1898
Phone (630) 785-3255

Other practice location 2

3425 W Peterson Ave Ste 107
Chicago, IL 60659-3443
Phone (630) 785-3255

Other identifiers 1

IdentifierTypeStateIssuer
036118381MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081213000208 IL Part B Supplier - Clinic/Group Practice 6406918192 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Elmhurst, IL; Hinsdale, IL; La Grange, IL; Lombard, IL; Villa Park, IL

National Provider Directory

National Provider Directory

Locations

6350 N Western Ave
Chicago, IL 60659
Phone (630) 785-3255

1300 S Main St
Ste 0
Lombard, IL 60148
Phone (630) 785-3255

1300 S Main St
Ste O
Lombard, IL 60148
Phone (630) 785-3255

929 S Main St
Ste 107B
Lombard, IL 60148

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1962663914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W MADISON ST",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813018",
            "telephone_number": "630-785-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST STE O",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484526",
            "telephone_number": "630-785-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6346 N Talman Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606591898",
            "country_code": "US",
            "telephone_number": "630-785-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 W Peterson Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593443",
            "country_code": "US",
            "telephone_number": "630-785-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMAN MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "TAZEEN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-785-3255",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036.118381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.