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Dr. Fatema M Photowala, MD
Student in an Organized Health Care Education/Training Program in Aurora, Illinois
NPI 1669674610

Fatema M Photowala is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Fatema M Photowala practices in Aurora, IL and has the professional credentials of MD. The NPI Number for Fatema M Photowala is 1669674610 and holds a License No. 036-115996 (Illinois).

The current practice location address for Fatema M Photowala is 1221 N Highland Ave, Aurora, IL and can be reached out via phone at 630-859-8700. You can also correspond with Fatema M Photowala through the mailing address at 28594 NETWORK PL, CHICAGO, IL - 60673-1285 (mailing address contact number: 630-859-6800).

Location: 1221 N Highland Ave, Aurora, IL, 60673-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669674610
Provider Name
Fatema M Photowala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1221 N Highland Ave, Aurora, IL, 60673-1285
Phone Number
630-859-8700
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04515143 01 IL BCBS#
036115996 05 IL
institution
Provider Business Practice Location Address Details
Address
1221 N Highland Ave
City
Aurora
State
Illinois
Zip
60506-1404
Phone Number
630-859-8700
Fax Number
person
Provider Business Mailing Address Details
Address
28594 Network Pl
City
Chicago
State
Illinois
Zip
60673-1285
Phone Number
630-859-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
36115996 (Illinois)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036-115996 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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