| Fariha Agha M.d. S.c. | |
|
600 Enterprise Dr Ste 218 Oak Brook IL 60523-4200 | |
| (630) 620-0320 | |
| (630) 990-4245 |
| Full Name | Fariha Agha M.d. S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Enterprise Dr Ste 218, Oak Brook, Illinois |
| Authorized Official Name and Position | Fariha Agha (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6309904244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fariha Agha M.d. S.c. 600 Enterprise Dr Ste 218 Oak Brook IL 60523-4200 Ph: (630) 620-0320 | Fariha Agha M.d. S.c. 600 Enterprise Dr Ste 218 Oak Brook IL 60523-4200 Ph: (630) 620-0320 |
| NPI Number | 1780866608 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 01/28/2020 |
| Medicare PECOS PAC ID | 4284659475 |
|---|---|
| Medicare Enrollment ID | O20051006000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780866608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 036103441 (Illinois) | Primary |
| Provider Name | Fariha Agha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235217381 PECOS PAC ID: 8820013022 Enrollment ID: I20051010000094 |
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