Addison Medical Office, Inc

Organization Active NPI Internal Medicine Physician · Addison, IL

NPI 1710285143 · NPPES record last updated Mar 9, 2011

Key facts

NPI
1710285143
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ADDISON MEDICAL OFFICE, INC
Practice address
11 N Addison Rd
Addison, IL 60101-3805
Phone
(630) 833-5530
Fax
(630) 833-5560
NPI assigned
Mar 9, 2011
Organization subpart
No

Authorized official

Name
Dr. Ayesha Fareeduddin, MD
Title
Owner
Phone
(847) 828-3432

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11 N Addison Rd
Addison, IL 60101
Phone (630) 833-5530

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

11 N Addison Rd
Addison, IL 60101-3805

Mailing address

11 N Addison Rd
Addison, IL 60101-3805
Phone (630) 833-5530

Other providers in Addison, IL

All providers in Addison, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.