Individual
SUSAN E AHMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3540 SEVEN BRIDGES DR, STE 230, WOODRIDGE, IL 60517-1222
(630) 964-9400
(630) 964-9375
Mailing address
3540 SEVEN BRIDGES DR, STE 230, WOODRIDGE, IL 60517-1222
(630) 964-9400
(630) 964-9375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
360101756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101756 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
12/23/2005
Last updated
03/10/2009
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