Individual
SHAHIDA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 E 93RD ST, STE 336, CHICAGO, IL 60617-3948
(773) 768-6400
(773) 768-6373
Mailing address
2315 E 93RD ST STE 336, CHICAGO, IL 60617-3948
(773) 768-6400
(773) 768-6373
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01032283A
IN
2084N0400X
Neurology Physician
Primary
036062159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01032283A
—
IN
05
—
036062159
—
IL
Enumeration date
09/22/2006
Last updated
10/22/2014
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