Individual
MISS IFFAT SULTANA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1964 SPRINGBROOK SQUARE DR STE 108B, NAPERVILLE, IL 60564-5949
(630) 348-3840
(630) 848-9342
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-125768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125768
—
IL
01
—
208342
GROUP MEDICARE PTAN
—
Enumeration date
08/08/2008
Last updated
08/02/2023
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