Organization
SHAFIQ AHMED, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAFIQ AHMED MD (PRESIDENT)
(708) 403-3401
Entity
Organization
Contact information
Practice address
15300 WEST AVE, SUITE 222 SOUTH BUILDING, ORLAND PARK, IL 60462-4600
(708) 403-3401
(708) 403-3403
Mailing address
15300 WEST AVE, SUITE 222 SOUTH BUILDING, ORLAND PARK, IL 60462-4600
(708) 403-3401
(708) 403-3403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036041524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041524
—
IL
Enumeration date
07/18/2008
Last updated
07/18/2008
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