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Organization
MAQBOOL AHMAD
Active
Organization
MAQBOOL AHMAD
Active
Other names
Marion Eye Surgery Center, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAQBOOL AHMAD M.D. (OWNER)
(618) 993-5686
Entity
Organization
Contact information
Practice address
2900 BROADWAY ST, SUITE B, MOUNT VERNON, IL 62864-2341
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, P.O. BOX 1178, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036051996
IL
Other
Enumeration date
01/02/2009
Last updated
04/29/2010
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