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Organization
DIVERSIFIED MEDICAL SERVICES LLC
Active
Organization
DIVERSIFIED MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (PRESIDENT)
(618) 239-0678
Entity
Organization
Contact information
Practice address
5023 N ILLINOIS ST, STE 1, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(800) 516-2392
Mailing address
5023 N ILLINOIS ST, STE 1, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(800) 516-2392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
09/12/2011
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