# A & D MEDICAL CENTER SC

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

## Provider details

- **NPI number:** 1316037120
- **Authorized official:** JAWED EHSAN M D (OWNER)
- **Authorized official phone:** (847) 742-0165

## Contact information

- **Practice address:** 64 N ALFRED AVE, SUITE B, ELGIN, IL 60123-5284
- **Practice address phone:** (847) 742-0165
- **Practice address fax:** (847) 742-0190
- **Mailing address:** 64 N ALFRED AVE, SUITE B, ELGIN, IL 60123-5284
- **Mailing address phone:** (847) 742-0165
- **Mailing address fax:** (847) 742-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IL | — |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 04/15/2008