Farah Hashemi Fakouri, | |
25 N Winfield Rd, Winfield, IL 60190-1295 | |
(630) 933-1199 | |
(630) 933-4558 |
Full Name | Farah Hashemi Fakouri |
---|---|
Gender | Female |
Speciality | Infectious Disease |
Experience | 33 Years |
Location | 25 N Winfield Rd, Winfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790893881 | NPI | - | NPPES |
1790893881 | Medicaid | WI | |
K53368 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
P00708155 | Other | IL | RR MEDICARE PTAN (INDIVIDUAL) |
036089264 | Medicaid | IL | |
206147 | Other | IL | MEDICARE PTAN (GROUP) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 83655 (Wisconsin) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 036089264 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rush University Medical Center | 5496658874 | 997 |
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578571055 PECOS PAC ID: 0941289094 Enrollment ID: O20040714000519 |
Mailing Address | Practice Location Address |
---|---|
Farah Hashemi Fakouri, 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-1199 | Farah Hashemi Fakouri, 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-1199 |
Georgios Christopoulos, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 500, Winfield, IL 60190 Phone: 630-232-0280 Fax: 630-315-1469 | |
Dr. Timothy J Mcgee, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-690-4553 Fax: 630-690-2293 | |
Rutuja Desai Patel, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 520, Winfield, IL 60190 Phone: 630-938-8266 Fax: 630-933-7329 | |
Dane Eric Volden, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 400, Winfield, IL 60190 Phone: 630-456-7178 | |
Dr. Anjali Gera Gopal, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 432, Winfield, IL 60190 Phone: 630-933-4056 Fax: 630-933-5868 | |
Dr. Cody Braun, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 400, Winfield, IL 60190 Phone: 630-456-7178 Fax: 630-456-7486 | |
Margaret Eve Morrison, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 300, Winfield, IL 60190 Phone: 630-717-2600 Fax: 630-718-2656 |