Individual
MUBASHIR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036106610
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-106610
IL
207UN0901X
Nuclear Cardiology Physician
036106610
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036106610
STATE LICENSE
IL
05
—
34276500
—
WI
Enumeration date
07/26/2006
Last updated
09/11/2023
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