Individual
MAHMOUD FARHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5601011868
MI
363A00000X
Physician Assistant
Primary
085010446
IL
363AS0400X
Surgical Physician Assistant
—
IL
Other
Enumeration date
06/28/2023
Last updated
08/14/2025
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