KRISTYN MARIE FARA (NPI# 1962740852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962740852 |
| Entity Type | Individual |
| Full Name | KRISTYN MARIE FARA |
| Other Name | KRISTYN MARIE GENRICH |
| Credential | PA |
| Practice Address |
1051 W Rand Rd Ste 110 Arlington Heights IL 60004-2315 |
| Practice Telephone | 8476189292 |
| Practice Fax Number | 8476189294 |
| Mailing Telephone | 8476189292 |
| Mailing Fax Number | 8476189294 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004542 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
385003266 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1051 W RAND RD STE 110 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309755 | Irina Goldvekht | Internal Medicine | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2006-01-04 |
| 1417124769 | Brian Jacover | Family Medicine | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2008-05-14 |
| 1740215177 | Katherine A Kotcherian | Internal Medicine | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2006-07-12 |
| 1821023243 | Carl David Bakken | Internal Medicine | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2006-07-12 |
| 1982642740 | Kristin M Trevino | Family Medicine | 1051 W Rand Rd Ste 110, Arlington Heights, IL 60004-2315 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1134421092 | Constance Lynn Hanninen | Physician Assistant | 415 E Golf Rd Ste 102, Arlington Heights, IL 60005-4049 | 2010-11-29 |
| 1437663606 | Michelle Farazi | Physician Assistant | 902 W Dundee Rd, Arlington Heights, IL 60004-7823 | 2017-11-27 |
| 1114300431 | Mona Mahmood | Physician Assistant | 135 E Algonquin Rd, Arlington Heights, IL 60005-5321 | 2015-07-06 |
| 1154717569 | Kristin Hornaday | Physician Assistant | 2101 S Arlington Heights Rd, Suite 108, Arlington Heights, IL 60005-4185 | 2015-04-13 |
| 1821480534 | Julie Anne Hunter | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2015-03-04 |
| 1124380712 | Gagandeep Zaveri | Physician Assistant | 880 W Central Rd, #3600, Arlington Heights, IL 60005-2355 | 2012-06-11 |
| 1699089656 | Alexander V Kendall | Physician Assistant | 1925 E Rand Rd, Arlington Heights, IL 60004-4366 | 2010-08-02 |
| 1710998737 | David John Bakker | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2006-08-11 |
| 1568471050 | Kelly Sue Licari | Physician Assistant | 800 W Central Rd, Northwest Community Hospital, Arlington Heights, IL 60005-2349 | 2006-08-05 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
Please comment or provide details below to improve the information on KRISTYN MARIE FARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.