Search › Illinois › 207RI0200X

Farah Fakouri

NPI 1790893881 · on the registry since 2006

Practice

Address
2734 W 87th St
Chicago, IL 60652
Phone
(773) 918-4700
Fax
(773) 313-3763
Organisation at this address
Jencare Neighborhood Medical Center Evergreen Park, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 1211 Fish Hatchery Rd, Madison, WI
  • 1818 N Meade St, Appleton, WI

Registry record

Primary taxonomy
207RI0200X
207RI0200X
Also registered as
207RI0200X
Licence states on file
WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois