Healthcare Provider Details

I. General information

NPI: 1932620697
Provider Name (Legal Business Name): FATIMA MUHAMMAD KAZI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ELM CREEK DR
ELMHURST IL
60126-5609
US

IV. Provider business mailing address

5 ELM CREEK DR
ELMHURST IL
60126-5609
US

V. Phone/Fax

Practice location:
  • Phone: 312-871-7048
  • Fax:
Mailing address:
  • Phone: 312-871-7048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036152345
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01088317A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125072518
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number01088317A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: