Individual
FAISAL AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-2568
(309) 268-2913
Mailing address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-2568
(309) 268-2913
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-123125
IL
Other
Enumeration date
08/31/2006
Last updated
09/03/2009
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