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General NPI Number Information
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NPI Number | 1497301832
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Entity Type | Individual
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Provider Name | JABEEN FATIMA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 760 PASQUINELLI DR STE 300
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City | WESTMONT
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State | IL
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Zip | 60559-1290
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Country | US
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Telephone | 630-782-9780
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E 15TH ST
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City | LOMBARD
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State | IL
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Zip | 60148-4701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036171801
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036171801
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License Number State | IL
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