| Fatima Jaffer Md Sc Pc | |
|
Physicians Pavilion Suite 101 24 East Joliet Street Dyer IN 46311 | |
| (219) 865-2141 | |
| (219) 864-2644 |
| Full Name | Fatima Jaffer Md Sc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | Physicians Pavilion Suite 101, Dyer, Indiana |
| Authorized Official Name and Position | Fatima E Jaffer (PRESIDENT) |
| Authorized Official Contact | 6307893133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima Jaffer Md Sc Pc Po Box 5758 Villa Park IL 60181-5308 Ph: (630) 789-3133 | Fatima Jaffer Md Sc Pc Physicians Pavilion Suite 101 24 East Joliet Street Dyer IN 46311 Ph: (219) 865-2141 |
| NPI Number | 1508078239 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508078239 | NPI | - | NPPES |
| 000000353010 | Other | IN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01044403A (Indiana) | Primary |
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Informe Hc Specialists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 | |
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