Ayesha Fatima

NPI #1538964465 in Addison, Illinois

Provider Information

NPI Number: 1538964465
Entity Type: Individual
Name: Ayesha Fatima
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Feb 14, 2025
Last Updated: Dec 30, 2025

Practice Location

Address: 714 N TAMARAC BLVD
City: Addison
State: Illinois
ZIP Code: 60101-1694
Phone: (773) 563-5572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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