# DR TANVEER AHMAD PC

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

## Provider details

- **NPI number:** 1720203086
- **Authorized official:** DR. TANVEER AHMAD MD (OWNER)
- **Authorized official phone:** (815) 338-0900

## Contact information

- **Practice address:** 335 BLAKELY ST, SUITE A, WOODSTOCK, IL 60098-3713
- **Practice address phone:** (815) 338-0900
- **Practice address fax:** (815) 338-5390
- **Mailing address:** 335 BLAKELY ST, SUITE A, WOODSTOCK, IL 60098-3713
- **Mailing address phone:** (815) 338-0900
- **Mailing address fax:** (815) 338-5390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036072630 | IL | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 04/17/2008
