Individual
JABEEN FATIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E LAKE ST STE 102, ADDISON, IL 60101-2873
(630) 782-9780
Mailing address
1000 E 15TH ST, LOMBARD, IL 60148-4701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036171801
IL
207Q00000X
Family Medicine Physician
Primary
036171801
IL
Other
Enumeration date
08/12/2019
Last updated
06/17/2026
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