Individual
JENNIFER AHMADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 W RAND RD, ARLINGTON HEIGHTS, IL 60004-2315
(847) 618-0326
Mailing address
4901 SEARLE PKWY, SKOKIE, IL 60077-5313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036104597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104597
—
IL
01
—
P00032771
RR MEDICARE
IL
Enumeration date
08/10/2005
Last updated
09/11/2024
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