Individual
AHMAD MANSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE BLDG 110, MAYWOOD, IL 60153-3328
(708) 216-5911
Mailing address
1653 W CONGRESS PKWY, KELLOGG BLDG RM 1042, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068844
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036.148948
IL
207RC0000X
Cardiovascular Disease Physician
DR.0068266
CO
Other
Enumeration date
06/22/2016
Last updated
06/14/2022
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