Provider Demographics
NPI:1780866608
Name:FARIHA AGHA M.D. S.C.
Entity type:Organization
Organization Name:FARIHA AGHA M.D. S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-990-4244
Mailing Address - Street 1:600 ENTERPRISE DR STE 218
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4200
Mailing Address - Country:US
Mailing Address - Phone:630-620-0320
Mailing Address - Fax:630-990-4245
Practice Address - Street 1:600 ENTERPRISE DR STE 218
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4200
Practice Address - Country:US
Practice Address - Phone:630-620-0320
Practice Address - Fax:630-990-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036103441207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty