# RAFIQ AHMED M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013292457
- **Authorized official:** DR. RAFIQ AHMED M.D. (PRESIDENT)
- **Authorized official phone:** (708) 388-7028

## Contact information

- **Practice address:** 2310 YORK ST, SUITE 2B, BLUE ISLAND, IL 60406-2411
- **Practice address phone:** (708) 388-7028
- **Practice address fax:** (708) 396-1525
- **Mailing address:** 2310 YORK ST, SUITE 2B, BLUE ISLAND, IL 60406-2411
- **Mailing address phone:** (708) 388-7028
- **Mailing address fax:** (708) 396-1525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036048621 | IL | Yes |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 10/17/2011