Individual
FARHA SAGHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
444 N PARK BLVD, GLEN ELLYN, IL 60137-4622
(630) 469-0045
(630) 469-0645
Mailing address
444 N PARK BLVD, GLEN ELLYN, IL 60137-4622
(630) 469-0045
(630) 469-0645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-116680
IL
207Q00000X
Family Medicine Physician
11749
NH
207Q00000X
Family Medicine Physician
54953-21
WI
207Q00000X
Family Medicine Physician
M3137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020350051
FEDERAL TAX ID
—
05
—
036116680
—
IL
01
—
04YPO4564NH01
ANTHEM BC/BS
NH
01
—
080194915
RAILROAD MEDICARE
—
01
—
1600915
CIGNA HEALTHCARE
NH
05
—
30222222
—
NH
01
—
5830418
AETNA GROUP
—
01
—
LICENSE
11749
NH
Enumeration date
08/09/2005
Last updated
12/19/2019
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