MEDICARE: FAREEHA FITTER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1326720277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAREEHA FITTER PA-C

Provider Business Mailing Address
First Line	:	980 PLAINFIELD RD
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-1705
Country	:	US
Telephone Number	:	630-541-6679
Fax Number	:	630-812-1051

Provider Business Practice Location Address
First Line	:	980 PLAINFIELD RD
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-1705
Country	:	US
Telephone Number	:	630-541-6679
Fax Number	:	630-812-1051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	12/16/2025

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Directions to “ FAREEHA FITTER PA-C” Practice Location

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