Individual
DR. IMAD AHMADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 GOVERNORS HWY STE 2200, FLOSSMOOR, IL 60422-2137
(708) 799-0180
(708) 798-2870
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.111113
IL
207RC0000X
Cardiovascular Disease Physician
036.111113
IL
207RI0011X
Interventional Cardiology Physician
Primary
036.111113
IL
Other
Enumeration date
08/08/2006
Last updated
04/07/2022
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