Photowala, Fatema M

Photowala, Fatema M is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Photowala, Fatema M can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-115996 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 36115996 Illinois

Profile Details

NPI number 1669674610
LBN Legal business name Photowala, Fatema M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Oct 21st, 2022 - about 2 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 1669674610 NPPES
Illinois Other 04515143 BCBS#
Illinois MEDICAID 036115996 BCBS#

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