Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Farah Fakouri

Individual provider Infectious Disease Physician · NPI 1790893881

Farah Fakouri is an Infectious Disease in Chicago, Illinois. Qualified in 1991, 35 years ago. Practices with Pmr Illinois Holding LLC, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
35
Licensed in
IL, WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2734 W 87th St
Chicago, IL 60652-3937
Phone: (773) 918-4700
Fax: (773) 313-3763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101
  • 1211 Fish Hatchery Rd, Madison, WI 53715-1909 — (608) 252-8000

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 036089264 (IL)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 83655 (WI)

Record details

NPI number1790893881
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Pmr Illinois Holding Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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