Basic Information
| Provider Information | |||||||||
| NPI: | 1235471327 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAUS | ||||||||
| FirstName: | FARAH | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1775 BALLARD RD | ||||||||
| Address2: | |||||||||
| City: | PARK RIDGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600681005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473186020 | ||||||||
| FaxNumber: | 8473182712 | ||||||||
| Practice Location | |||||||||
| Address1: | 1775 BALLARD RD | ||||||||
| Address2: | |||||||||
| City: | PARK RIDGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600681005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473186020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2013 | ||||||||
| LastUpdateDate: | 12/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036.138999 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.