Provider Demographics
NPI:1447482484
Name:FARAH HUSSAIN, LCSW, P.C.
Entity type:Organization
Organization Name:FARAH HUSSAIN, LCSW, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:312-523-9959
Mailing Address - Street 1:180 N MICHIGAN AVE STE 531
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7426
Mailing Address - Country:US
Mailing Address - Phone:312-523-9959
Mailing Address - Fax:
Practice Address - Street 1:180 N MICHIGAN AVE STE 531
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7426
Practice Address - Country:US
Practice Address - Phone:312-523-9959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0125451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty