Individual provider Active NPI

Rabia Fatima, PAC

  • Physician Assistant
  • Palos Heights, IL
National Provider Identifier
1548138522
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085011736 Issued in IL
Practice address
7350 W College Dr Ste 103
Palos Heights, IL 60463-1187
Phone
(708) 888-1167
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085011736 IL Primary

Addresses

Primary practice location

7350 W College Dr Ste 103
Palos Heights, IL 60463-1187

Mailing address

262 Seabury Rd
Bolingbrook, IL 60440-2412

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124000790 IL Practitioner - Physician Assistant 2062904451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 W Central Ave
Lombard, IL 60148-3813

262 Seabury Rd
Bolingbrook, IL 60440-2412

78 Baybrook LN
Oak Brook, IL 60523-1641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085011736ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular and Vein Center LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

276 W Fullerton Ave
Addison, IL 60101
Phone (630) 543-5454

7350 W College Dr
Ste 103
Palos Heights, IL 60463
Phone (219) 208-6218

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1548138522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SEABURY RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR STE 103",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631187",
            "telephone_number": "708-888-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "RABIA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.