Provider Demographics
NPI:1770778607
Name:CHAUDHRY, FARIHA (MD)
Entity type:Individual
Prefix:
First Name:FARIHA
Middle Name:
Last Name:CHAUDHRY
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:PO BOX 5184
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-5184
Mailing Address - Country:US
Mailing Address - Phone:847-679-0629
Mailing Address - Fax:847-679-0630
Practice Address - Street 1:2525 S MICHIGAN AVE
Practice Address - Street 2:SUITE 817
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2315
Practice Address - Country:US
Practice Address - Phone:312-567-2479
Practice Address - Fax:312-567-2299
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361162362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4673170001OtherDMERC