Individual ProviderFaran BokhariSurgeryAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison St, Chicago, IL 60612-3714(312) 864-2741PECOS EnrollmentBased on the most recent information from CMS, provider Faran Bokhari is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508987868Provider TypeIndividualFull NameBokhari, FaranTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/3/2007Last Updated4/22/2021Contact InformationPractice LocationPractice Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-2741Fax(312) 864-9169Mailing LocationMailing Address1900 W Polk St # 1300, Chicago, IL 60612-3723Phone(312) 864-2741Fax(312) 864-9169Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036095936IllinoisCode2086S0102XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036095936IllinoisCode2086S0127XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036095936Illinois