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General NPI Number Information
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NPI Number | 1881842581
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Entity Type | Organization
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Legal Business Name | S FATIMA MD SC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 7133 NORTH RIDGE BLVD.
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City | CHICAGO
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State | IL
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Zip | 60645
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Country | US
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Telephone | 773-338-8343
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Fax |
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Provider Business Mailing Address
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Address Line | 346 WILSHIRE DR E
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City | WILMETTE
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State | IL
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Zip | 60091-3148
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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 | PRESIDENT
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Name | SHAHEEN FATIMA
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Credential |
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Telephone | 773-338-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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