Provider Demographics
NPI:1518078393
Name:MICHAEL I. FARR DMD, LTD
Entity Type:Organization
Organization Name:MICHAEL I. FARR DMD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:IRVING
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-381-7290
Mailing Address - Street 1:118 BARRINGTON COMMONS CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3297
Mailing Address - Country:US
Mailing Address - Phone:847-381-7290
Mailing Address - Fax:847-381-7665
Practice Address - Street 1:118 BARRINGTON COMMONS CT
Practice Address - Street 2:SUITE 201
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3297
Practice Address - Country:US
Practice Address - Phone:847-381-7290
Practice Address - Fax:847-381-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL600093701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty