Organization
MOHAMMED I AHMED SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ISMAIL AHMED M.D. (OWNER)
(773) 533-5523
Entity
Organization
Contact information
Practice address
2803 W HARRISON ST, CHICAGO, IL 60612-3332
(773) 533-5523
(773) 533-1479
Mailing address
737 S FAIRFIELD AVE, LOMBARD, IL 60148-3503
(773) 533-5523
(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
05
—
036081126
—
IL
Enumeration date
07/14/2010
Last updated
03/11/2024
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