Individual
DR. AHMAD K AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1367 N DIVISION ST, A, MORRIS, IL 60450-1444
(815) 941-2007
(815) 941-2132
Mailing address
1600 PLAINFIELD RD, JOLIET, IL 60435-1902
(815) 680-6806
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-104423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-523-729-2
ECFMG CERT #
—
01
—
336-065079
CONTROLLED SUBSTANCE
IL
Enumeration date
05/10/2006
Last updated
03/07/2023
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