Organization
FATIMA JAFFER MD SC
Active
Organization
FATIMA JAFFER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA E JAFFER M.D. (PRESIDENT)
(630) 789-3133
Entity
Organization
Contact information
Practice address
40 S CLAY ST, SUITE 224 E, HINSDALE, IL 60521-3257
(630) 789-3133
(630) 789-3379
Mailing address
PO BOX 5758, VILLA PARK, IL 60181-5308
(630) 789-3133
(630) 789-3379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232638
BLUE CROSS BLUE SHEILD
IL
Enumeration date
05/03/2007
Last updated
08/22/2020
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