Fatima Mustafa Klassman, PA-C
Individual provider Active NPI Physician Assistant · Kildeer, IL
NPI 1255716320 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1255716320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085006448 (IL)
- Practice address
- 21481 N Rand Rd
Kildeer, IL 60047-3061 - Phone
- (847) 618-9696
- Fax
- (847) 618-9695
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200811002116 | IL | Practitioner - Physician Assistant | 5496082620 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6082 | AZ | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Illinois, LLP | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Pleasant Pediatrics PLC | Past | Accepting new patients | |
| Pleasant Pediatrics PLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
Interoperability endpoints
- fklassman@advent.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4759-23 | WI | |
| Physician Assistant | 363A00000X | 6082 | AZ | |
| Physician Assistant | 363A00000X | 085006448 | IL | Yes |
Addresses
Primary practice location
21481 N Rand Rd
Kildeer, IL 60047-3061
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Other practice location 1
925 N. Milwaukee Ave Unit 200 Suite F440
Vernon Hills, IL 60061-1637
Phone (414) 771-6780
Other practice location 2
1425 North Hunt Club Road
Ste 100
Gurnee, IL 60031-2632
Phone (847) 548-2020
Other names
- Fatima M. Farooqi
Other providers in Kildeer, IL
- Luiza Johnson
- Simran Jit Kamboj
- Alexa Karbin
- Claudine M. Kasinak
- Anna Kawa
- Lake Cook Chiropractic Health Care, Inc.
- Joseph Daniel Lamplot
- Julia Leonard
- Agnieszka Lukacz
- Lumen Optical Illinois 1, LLC
All providers in Kildeer, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.