Individual
MR. K. BASHEER AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RRT, CRTT, CPFT
Contact information
Practice address
346 E IRVING PARK RD, WOOD DALE, IL 60191-1679
(847) 877-1601
(630) 422-7186
Mailing address
346 E IRVING PARK RD, WOOD DALE, IL 60191-1679
(847) 877-1601
(630) 422-7186
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203.000540
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363561463001
—
IL
Enumeration date
07/07/2006
Last updated
04/21/2014
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