Provider Demographics
NPI:1508071309
Name:MUHAMMEDKARIM, FOUZIA (MD)
Entity Type:Individual
Prefix:
First Name:FOUZIA
Middle Name:
Last Name:MUHAMMEDKARIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 FAIRWAY DR
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3938
Mailing Address - Country:US
Mailing Address - Phone:630-857-3967
Mailing Address - Fax:630-995-3027
Practice Address - Street 1:535 FAIRWAY DR
Practice Address - Street 2:SUITE #107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3938
Practice Address - Country:US
Practice Address - Phone:857-396-7630
Practice Address - Fax:630-995-3027
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1508071309Medicaid
IL036126023Medicaid