Fatima, Nishat

Fatima, Nishat is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Fatima, Nishat can be contacted via phone (847) 318-2400.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Phone: (847) 318-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036.142329 Illinois

Profile Details

NPI number 1760898936
LBN Legal business name Fatima, Nishat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Dec 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760898936 NPPES
Illinois Other 036.142329 ILLINOIS PHYSICIAN LICENSE
Illinois MEDICAID 036142329 ILLINOIS PHYSICIAN LICENSE

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