Individual
DR. FARHANA PYARALI ALVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2208 WEBER RD, UNIT A, CREST HILL, IL 60403-0961
(815) 725-1118
(815) 725-1198
Mailing address
PO BOX 59, WILLOW SPRINGS, IL 60480-0059
(815) 725-1118
(815) 725-1198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-087464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087464
—
IL
01
—
10637422
CAQH
IL
01
—
14D1097242
CLIA
IL
01
—
P00756867
RAILROAD MEDICARE
IL
Enumeration date
10/14/2005
Last updated
03/07/2023
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