Provider Demographics
NPI:1568451276
Name:ALVI, FARHANA PYARALI (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:PYARALI
Last Name:ALVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-0059
Mailing Address - Country:US
Mailing Address - Phone:815-725-1118
Mailing Address - Fax:815-725-1198
Practice Address - Street 1:2208 WEBER RD
Practice Address - Street 2:UNIT A
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-0961
Practice Address - Country:US
Practice Address - Phone:815-725-1118
Practice Address - Fax:815-725-1198
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-087464207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087464Medicaid
ILP00756867OtherRAILROAD MEDICARE
IL14D1097242OtherCLIA
IL10637422OtherCAQH
IL10637422OtherCAQH
ILG50611Medicare UPIN
ILP00756867OtherRAILROAD MEDICARE