DR. FARRUKH FAYYAZ (NPI# 1851811715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851811715 |
| Entity Type | Individual |
| Full Name | DR. FARRUKH FAYYAZ |
| Credential | MD |
| Practice Address |
7531 S Stony Island Ave Chicago IL 60649-3954 |
| Mailing Address |
1330 E 53rd St Apt 511 Chicago IL 60615-4014 |
| Practice Telephone | 7739477500 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 125071050 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
7531 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
| 1760089718 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-10-02 |
| 1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
| 1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
| 1487279824 | Nsisongikanabasi Mfon Udoh | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-11 |
| 1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
| 1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
| 1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| 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.