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NPI 1831337401 · Geriatric Medicine (Family Medicine) Physician · Morton Grove, IL
Provider details
- NPI number
- 1831337401
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Farooq Ahmed, President(312) 810-7786
- License
- 036-118695 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6432 Hoffman Ter
Morton Grove, IL 60053-1410
Phone: (312) 810-7786
Fax: (847) 673-0292
Street-level locationGet directions
Mailing address
6432 Hoffman Ter
Morton Grove, IL 60053-1410
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.