Provider Demographics
NPI:1376749341
Name:FARUKHI, FAHHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:FAHHAD
Middle Name:
Last Name:FARUKHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 SAUNDERS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-2566
Mailing Address - Country:US
Mailing Address - Phone:847-809-6862
Mailing Address - Fax:
Practice Address - Street 1:410 N MICHIGAN AVE STE 1020
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4241
Practice Address - Country:US
Practice Address - Phone:847-809-6862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036130008207R00000X, 208M00000X
OH57.012657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine