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

Wasiya Farooqui

Individual provider Medical Physician Assistant · NPI 1619593464

Wasiya Farooqui is a Medical Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2335 W Fullerton Ave Ste B
Chicago, IL 60647-3225
Phone: (815) 603-5852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085.008574 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619593464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2020
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

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