Individual
FARHEEN KOTHAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 SKOKIE BLVD, NORTHBROOK, IL 60062-2802
(847) 504-3300
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-3172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085010723
IL
Other
Enumeration date
04/04/2024
Last updated
05/10/2025
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