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

Fares Ghanem, MD

Individual provider Cardiovascular Disease Physician · NPI 1700494754

Fares Ghanem, MD is a Cardiovascular Disease Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 N 1st St Ste D434
Springfield, IL 62702-3757
Phone: (217) 545-8000
Fax: (217) 545-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 125.081176 (IL)

Record details

NPI number1700494754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026
Mailing addressPo Box 19636, Springfield, IL 62794-9636

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