Organization
NORTH CHICAGO ORTHOPAEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSHANG FARAHVAR MD (PRESIDENT)
(773) 486-7200
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 235, CHICAGO, IL 60622-2717
(773) 486-7200
(773) 486-7667
Mailing address
PO BOX 7418, VILLA PARK, IL 60181-7418
(773) 486-7200
(773) 486-7667
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053620
—
IL
01
—
200001533
RAILROAD MEDICARE
—
Enumeration date
06/18/2007
Last updated
12/13/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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