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Contact Information

MAHMOUD FARHAT, PA-C
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL60050-8437
 Phone: 815-759-8070
 Fax: 815-759-4931
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MAHMOUD FARHAT · (Male)

NPI # 1922785310
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/28/2023
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 085010446
  • MI License # 5601011868
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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