Individual
DR. FAHEEM AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13539 IL ROUTE 76, POPLAR GROVE, IL 61065-8832
(815) 765-0147
(815) 765-0427
Mailing address
13539 IL ROUTE 76, POPLAR GROVE, IL 61065-8832
(815) 765-0147
(815) 765-0427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036162185
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036162185
IL
Other
Enumeration date
03/25/2020
Last updated
02/10/2026
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