Individual
SHAFIQ AHMED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462-4684
(708) 403-3401
(708) 403-3403
Mailing address
97 WINDMILL RD, ORLAND PARK, IL 60467-7340
(708) 403-7036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3641524
IL
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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