Individual
FATIMA SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097279
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097279
—
IL
Enumeration date
05/31/2006
Last updated
12/28/2011
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