Individual
DR. MOHAMMED N. AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 REPUBLIC AVE, JOLIET, IL 60435-6520
(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
2084P0800X
Psychiatry Physician
Primary
036106568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232165
BLUE CROSS BLUE SHIELD
IL
05
—
036106568
—
IL
Enumeration date
07/18/2006
Last updated
06/07/2022
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