Provider Demographics
NPI:1710906847
Name:DAIRI, FIRAS (MD)
Entity Type:Individual
Prefix:
First Name:FIRAS
Middle Name:
Last Name:DAIRI
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 1:2971 W ALGONQUIN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-9407
Mailing Address - Country:US
Mailing Address - Phone:847-658-7693
Mailing Address - Fax:847-658-7986
Practice Address - Street 1:2971 W ALGONQUIN RD STE 104
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-9407
Practice Address - Country:US
Practice Address - Phone:847-658-7693
Practice Address - Fax:847-658-7986
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036091281207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036091281Medicaid
IL05632031OtherBLUE CROSS/SHIELD
IL290015175OtherRAIL ROAD MEDICARE
IL05632031OtherBLUE CROSS/SHIELD
ILL99274Medicare PIN