Provider Demographics
NPI:1053407486
Name:KARIMI, FARID (MD)
Entity type:Individual
Prefix:DR
First Name:FARID
Middle Name:
Last Name:KARIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11235 DISTINCTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9458
Mailing Address - Country:US
Mailing Address - Phone:708-479-5555
Mailing Address - Fax:708-479-5055
Practice Address - Street 1:11235 DISTINCTIVE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467
Practice Address - Country:US
Practice Address - Phone:708-479-5555
Practice Address - Fax:708-479-5055
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360785252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363791861OtherCIGNA
ILPVPB4797OtherAPS
IL218330OtherMHN
IL036078525Medicaid
IL363791861OtherHUMANA
IL67M18OtherEMPIRE BCBS
IL31604099OtherBCBS
IL056828OtherVALUE OPTIONS
ILDC2977OtherRR MEDICARE
IL110539OtherCOMPSYCH
IL363791861OtherUNITED HEALTHCARE