Individual
DR. MOHAMMED I. AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2803 W HARRISON ST, HARRISON MEDICAL CENTER, CHICAGO, IL 60612-3332
(773) 533-5523
(773) 533-1479
Mailing address
737 S FAIRFIELD AVE, LOMBARD, IL 60148-3503
(630) 627-7909
(773) 533-1479
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036081126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031604609
BCBS
IL
05
—
036081126
—
IL
Enumeration date
12/29/2005
Last updated
03/11/2024
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