Individual
NASIR IQBAL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5220 S 6TH STREET RD, SUITE 1200, SPRINGFIELD, IL 62703-5735
(217) 545-7644
(217) 585-6890
Mailing address
PO BOX 19674, SPRINGFIELD, IL 62794-9674
(217) 545-7644
(217) 585-6890
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
125-058479
IL
Other
Enumeration date
08/11/2010
Last updated
05/26/2011
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