Individual
SARAH AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0452
Mailing address
2209 W OHIO ST, CHICAGO, IL 60612-1519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.359616
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
041-359616
IL
Other
Enumeration date
11/03/2011
Last updated
04/21/2021
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