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Individual

FAISAL VAKIL AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4625 N. UNIVERSITY STREET, PEORIA, IL 61614
(309) 692-8100
(309) 692-8106
Mailing address
PO BOX 10260, PEORIA, IL 61612-0260
(309) 692-8100
(309) 692-8106

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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