Organization
NASR LTD
Active
Other names
JOLIET BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED N AHMED MD (PROPRIETOR)
(815) 725-1440
Entity
Organization
Contact information
Practice address
300 N REPUBLIC AVE, JOLIET, IL 60435
(815) 725-1440
(815) 725-1550
Mailing address
14 BAYBROOK LN, OAK BROOK, IL 60523-1607
(815) 725-1440
(815) 725-1550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036106568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232165
BCBS ID
IL
01
—
489953
VALUEOPTIONS ID
IL
01
—
830310000
MAGELLAN ID
IL
Enumeration date
12/05/2006
Last updated
06/07/2022
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