Fatima Jaffer MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FATIMA JAFFER MD SC

Practice address

40 S Clay St
Suite 224 E
Hinsdale, IL 60521-3257

Phone

(630) 789-3133

Fax

(630) 789-3379

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fatima E Jaffer, M.D.

Title

President

Phone

(630) 789-3133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194947846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5758",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815308",
            "telephone_number": "630-789-3133",
            "fax_number": "630-789-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 224 E",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-789-3133",
            "fax_number": "630-789-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA JAFFER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-789-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "2232638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Ichelle Fanapour, D.O.
• Betty Fang, PHARMD, BCACP
• Marissa Fang, ED.S
• Sharon Fang, MD
• Sara Smiley Farrero, M.A.
• Syeda Umamah Fatima, MS, RD, LDN
• Eileen I Faut, CRNA
• Eileen Fera, PH.D.
• Faustino Fernandez, PA
• Lindsay Michelle Fikkert, PSY.D.

• Internal Medicine Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.