Individual
AELIA FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1345 S WABASH AVE, UNIT 1005, CHICAGO, IL 60605-2575
(773) 397-3797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336108372
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
12/21/2021
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