Individual
DR. AHMED HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 SILVER CROSS BLVD, STE 265, NEW LENOX, IL 60451-9623
(815) 741-3532
(815) 741-3736
Mailing address
1890 SILVER CROSS BLVD, STE 265, NEW LENOX, IL 60451-9623
(815) 741-3532
(815) 741-3736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-079155
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079155
—
IL
Enumeration date
10/17/2006
Last updated
04/15/2021
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