Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ayesha Fatima

Individual provider Physician Assistant · NPI 1538964465

Ayesha Fatima is a Physician Assistant in Addison, Illinois. Qualified in 2025, 1 year ago. Practices with Midwest Express Care 2, Inc, a 219-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

714 N Tamarac Blvd
Addison, IL 60101-1694
Phone: (773) 563-5572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 779 W Adams St, Chicago, IL 60661-3509 — (708) 231-8908

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011745 (IL)

Record details

NPI number1538964465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address714 N Tamarac Blvd, Addison, IL 60101-1694

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Midwest Express Care 2, Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Addison