# AMJAD Z AHMAD MD SC

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

## Provider details

- **NPI number:** 1679762983
- **Authorized official:** DR. AMJAD Z. AHMAD M.D., SC (CEO)
- **Authorized official phone:** (630) 505-8888

## Contact information

- **Practice address:** 3100 OGDEN AVE, LISLE, IL 60532-1603
- **Practice address phone:** (630) 505-8888
- **Practice address fax:** (630) 505-8889
- **Mailing address:** 3100 OGDEN AVE, LISLE, IL 60532-1603
- **Mailing address phone:** (630) 505-8888
- **Mailing address fax:** (630) 505-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 01/25/2013