MICHELLE FARAZI (NPI# 1437663606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437663606 |
Entity Type | Individual |
Full Name | MICHELLE FARAZI |
Credential | PA-C |
Practice Address |
902 W Dundee Rd Arlington Heights IL 60004-7823 |
Mailing Address |
7044 N Karlov Ave Lincolnwood IL 60712-2310 |
Practice Telephone | 3122290350 |
Enumeration Date | 2017-11-27 |
Last Update Date | 2017-11-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085.006368 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
902 W DUNDEE RD |
City | ARLINGTON HEIGHTS |
State | IL |
Zip Code | 60004-7823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467797993 | Medspring of Texas, Pa | Clinic/Center | 902 W Dundee Rd, Arlington Heights, IL 60004-7823 | 2012-12-10 |
1215316880 | Medspring of Texas, Pa | Clinic/Center | 902 W Dundee Rd, Arlington Heights, IL 60004-7823 | 2015-05-28 |
1801223268 | Medspring Prime, Pa | Clinic/Center | 902 W Dundee Rd, Arlington Heights, IL 60004-7823 | 2013-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
Find all providers in zip 60004 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
1134421092 | Constance Lynn Hanninen | Physician Assistant | 415 E Golf Rd Ste 102, Arlington Heights, IL 60005-4049 | 2010-11-29 |
1114300431 | Mona Mahmood | Physician Assistant | 135 E Algonquin Rd, Arlington Heights, IL 60005-5321 | 2015-07-06 |
1154717569 | Kristin Hornaday | Physician Assistant | 2101 S Arlington Heights Rd, Suite 108, Arlington Heights, IL 60005-4185 | 2015-04-13 |
1821480534 | Julie Anne Hunter | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2015-03-04 |
1962740852 | Kristyn Marie Fara | Physician Assistant | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2013-01-28 |
1124380712 | Gagandeep Zaveri | Physician Assistant | 880 W Central Rd, #3600, Arlington Heights, IL 60005-2355 | 2012-06-11 |
1699089656 | Alexander V Kendall | Physician Assistant | 1925 E Rand Rd, Arlington Heights, IL 60004-4366 | 2010-08-02 |
1710998737 | David John Bakker | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2006-08-11 |
1568471050 | Kelly Sue Licari | Physician Assistant | 800 W Central Rd, Northwest Community Hospital, Arlington Heights, IL 60005-2349 | 2006-08-05 |
Find all providers in ARLINGTON HEIGHTS |
City | ARLINGTON HEIGHTS |
Zip Code | 60004 |
Please comment or provide details below to improve the information on MICHELLE FARAZI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.