| Farid Karimi, M.d., P.c. | |
|
11235 Distinctive Dr Orland Park IL 60467 | |
| (708) 479-5555 | |
| (708) 479-5055 |
| Full Name | Farid Karimi, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11235 Distinctive Dr, Orland Park, Illinois |
| Authorized Official Name and Position | Farid Karimi (PRESIDENT/OWNER) |
| Authorized Official Contact | 7084795555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Karimi, M.d., P.c. 11235 Distinctive Dr Orland Park IL 60467-9458 Ph: (708) 479-5555 | Farid Karimi, M.d., P.c. 11235 Distinctive Dr Orland Park IL 60467 Ph: (708) 479-5555 |
| NPI Number | 1659428860 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 7719945120 |
|---|---|
| Medicare Enrollment ID | O20041230000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659428860 | NPI | - | NPPES |
| 036078525 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036078525 (Illinois) | Primary |
| Provider Name | Farid Karimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053407486 PECOS PAC ID: 8527026939 Enrollment ID: I20041230000422 |
| Provider Name | Joyce Azzaline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215365036 PECOS PAC ID: 9032341359 Enrollment ID: I20140418000612 |
| Provider Name | Brandy Mccrudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083250450 PECOS PAC ID: 1355730540 Enrollment ID: I20211109002026 |
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