Individual
OMAR MASOOD AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 W DIVISION ST, CHICAGO, IL 60622-2717
(877) 737-4636
Mailing address
2222 W DIVISION ST, CHICAGO, IL 60622-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129383
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036129383
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
04-45116
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
070514
GA
207RP1001X
Pulmonary Disease Physician
036129383
IL
207RP1001X
Pulmonary Disease Physician
070514
GA
Other
Enumeration date
04/07/2009
Last updated
10/24/2024
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