Provider Demographics
NPI:1366453839
Name:TURK, FARAH (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:TURK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 S RTE 30
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5686
Mailing Address - Country:US
Mailing Address - Phone:815-436-1655
Mailing Address - Fax:815-436-1656
Practice Address - Street 1:13550 S RTE 30
Practice Address - Street 2:SUITE 100
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5686
Practice Address - Country:US
Practice Address - Phone:815-436-1655
Practice Address - Fax:815-436-1656
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036099659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL215943OtherMEDICARE
IL036099659Medicaid
IL9932640OtherBCBS
IL215943OtherMEDICARE