Individual
AHMED ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075984
IL
208M00000X
Hospitalist Physician
Primary
81164
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242525
—
WI
Enumeration date
05/25/2020
Last updated
09/07/2023
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