Individual provider Active NPI

Jabeen Fatima

  • Family Medicine Physician
  • Addison, IL
National Provider Identifier
1497301832
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036171801 Issued in IL
Practice address
240 E Lake St Ste 102
Addison, IL 60101-2873
Phone
(630) 782-9780
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036171801 IL
Family Medicine Physician 207Q00000X 036171801 IL Primary

Addresses

Primary practice location

240 E Lake St Ste 102
Addison, IL 60101-2873

Mailing address

1000 E 15TH St
Lombard, IL 60148-4701

Other practice location 1

1131 S Arlington Heights Rd Ste A
Arlington Heights, IL 60005-3140
Phone (630) 782-9780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015000520 IL Practitioner - Emergency Medicine 0941502983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haris Medical Group LLCGroup PAC ID 1254633290, 2 clinicians

Practice addresses (Care Compare)

1252 Ogden Ave
Suite B
Downers Grove, IL 60515-2740
Phone (630) 963-6912

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036171801ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afhc Urgent Care PLLC Current Accepting new patients
Clarendon Vision Development Center CurrentSince May 25, 2025 Accepting new patients
West Northwest Suburban Community Health Center Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Haris Medical Group LLC Family Medicine CurrentSince Dec 11, 2015 Accepting new patients
Afmc Vendor Services LLC Emergency Medicine PastSince Dec 15, 2024 Accepting new patients
Fairoaks Medical LLC Internal Medicine PastSince Jun 30, 2021 Accepting new patients
Hoscon, LTD PastSince Jul 7, 2024 Accepting new patients

Locations

240 E Lake St
Ste 102
Addison, IL 60101
Phone (630) 272-4129

240 E Lake St
Addison, IL 60101
Phone (630) 776-7549

1131 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 290-1131

1131 S Arlington Heights Rd
Ste A
Arlington Heights, IL 60005
Phone (630) 782-9780

1131 S Arlington Heights Rd
Ste C
Arlington Heights, IL 60005
Phone (630) 782-9780

1252 Ogden Ave
Downers Grove, IL 60515
Phone (630) 876-9000

1252 Ogden Ave
Ste B
Downers Grove, IL 60515
Phone (630) 847-7880

425 Ogden Ave
Downers Grove, IL 60515
Phone (630) 506-5553

1252 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 782-9780

760 Pasquinelli Dr
Ste 300B
Westmont, IL 60559
Phone (630) 782-9780

760 Pasquinelli Dr
Ste 300
Westmont, IL 60559
Phone (630) 323-7300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1497301832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 15TH ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012873",
            "telephone_number": "630-782-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 S Arlington Heights Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600053140",
            "country_code": "US",
            "telephone_number": "630-782-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "JABEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036171801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036171801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.