Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036095936 | IL |
Y | 208600000X | Surgeon | 036095936 | IL |
N | 2086S0102X | Surgical Critical Care | 036095936 | IL |
N | 2086S0127X | Trauma Surgeon | 036095936 | IL |
NPI | 1508987868 |
---|---|
Provider Name | Dr. Faran Bokhari |
First Address | Chicago, IL 60612-3723 |
Second Address | Chicago, IL 60612-3714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 22/04/2021 |