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NPI Code Detail

MEDICARE: DR. NADIA ANNE FAYOUMI

MEDICARE: DR. NADIA ANNE FAYOUMI
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
1207V00000XObstetrics & Gynecology Physician036174193IL

General Provider Information

NPI Number : 1619554706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADIA ANNE FAYOUMI
Provider Business Mailing Address
First Line : 200 S MICHIGAN AVE STE 1550
Second Line :
City : CHICAGO
State : IL
Zip : 60604-2424
Country : US
Telephone Number : 312-262-2976
Fax Number : 312-986-8005
Provider Business Practice Location Address
First Line : 200 S MICHIGAN AVE STE 1550
Second Line :
City : CHICAGO
State : IL
Zip : 60604-2424
Country : US
Telephone Number : 312-262-2976
Fax Number : 312-986-8005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 09/05/2025

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Directions to “ DR. NADIA ANNE FAYOUMI ” Practice Location

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