Individual
DR. FAROOQ MASOOD AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5200 MAIN ST STE 201, FAMILY PRACTICE/DEPT OF GERIATRICS, SKOKIE, IL 60077-2100
(312) 423-7869
Mailing address
2600 S MICHIGAN AVE, 308, CHICAGO, IL 60616-2857
(312) 810-7786
(847) 673-0292
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
01062175A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036118695
IL
Other
Enumeration date
07/20/2006
Last updated
11/22/2013
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