Individual
AMBER FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(082) 169-0007
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271514
MA
207RC0000X
Cardiovascular Disease Physician
Primary
036152739
IL
Other
Enumeration date
05/10/2017
Last updated
04/20/2023
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