SearchIllinois363A00000X

Ayesha Fatima

NPI 1538964465 · on the registry since 2025 · sole proprietor

Practice

Address
714 N Tamarac Blvd
Addison, IL 60101
Phone
(773) 563-5572

Additional practice sites

  • 779 W Adams St, Chicago, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois