Individual
FARIDA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
OUR LADY OF THE RESURRECTION HOSPITAL, 5645 W. ADDISON STREET, CHICAGO, IL 60634
(773) 282-7000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036066117
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036066117
IL
Other
Enumeration date
06/07/2006
Last updated
10/29/2020
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