Individual
IDA NESSA AHMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 LAKE ST STE 230, OAK PARK, IL 60301-1095
(331) 221-9001
(331) 221-2759
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-3175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125079452
IL
Other
Enumeration date
03/26/2022
Last updated
08/05/2025
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