NPI 1801287685

Kaneez Fatima, SAC

Practitioner Surgical Assistant Berwyn, IL

Practice location

Address: 3249 Oak Park Ave, Berwyn, IL 60402-3429
Phone: (708) 823-9100
Mailing address: 2043 Audubon Dr, Glendale Heights, IL 60139-1807

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 11-116 (IL)

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1801287685
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2015
Record last updated: 14 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.