Look up the most recent NPI and PECOS records

Mitchell Farag

Radiology

Allopathic & Osteopathic Physicians

2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328

PECOS Enrollment

Based on the most recent information from CMS, provider Mitchell Farag is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1619388576
Provider Type
Individual
Full Name
Farag, Mitchell
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/14/2014
Last Updated
7/1/2020

Contact Information

Practice Location

2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153-3328

(708) 216-1084

Unlisted Fax

Mailing Location

1200 Harger Rd, Ste 408, Oak Brook, IL 60523-1818

(630) 581-6504

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 125065925 Illinois

Mitchell Farag

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mullen, Sheila

Shaikh, Nida

Smith, Melissa Pawley

Charania, Munira

Beg, Usman

Camren, Gerald Paul

Kalyaniwalla, Kaizan

Mirgati, Sidney

Worrell, Stewart S

Kini, Sunil