MEDICARE: RABIA FATIMA PAC

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	085011736	IL

General Provider Information

NPI Number	:	1548138522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RABIA FATIMA PAC

Provider Business Mailing Address
First Line	:	262 SEABURY RD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-2412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7350 W COLLEGE DR STE 103
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1187
Country	:	US
Telephone Number	:	708-888-1167
Fax Number	:

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

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	10/29/2025

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Directions to “ RABIA FATIMA PAC” Practice Location

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