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Individual

AHMAD A AREF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1855 W TAYLOR ST, SUITE 3.171, CHICAGO, IL 60612-7242
(312) 996-7030
Mailing address
615 W DEMING PL, UNIT 403, CHICAGO, IL 60614-2776
(248) 672-5848

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036127402
IL
207W00000X
Ophthalmology Physician
FA 1870915
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036127402
IL
01
522630036
MEDICARE PTAN
IL
Enumeration date
05/25/2007
Last updated
08/22/2013
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