Individual
ILYAS M AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 W NORTH AVE, NORTHLAKE, IL 60164-2306
(708) 562-5100
(708) 562-5112
Mailing address
75 W NORTH AVE STE 400, NORTHLAKE, IL 60164-2314
(708) 562-5100
(708) 562-5112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026721
IL
1223G0001X
General Practice Dentistry
Primary
019026721
IL
Other
Enumeration date
08/15/2006
Last updated
09/15/2025
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