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Individual

AHMED NADEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
103 NORTH OAK ST, OFALLON, IL 62269
(618) 624-3368
Mailing address
103 NORTH OAK ST, OFALLON, IL 62269
(618) 624-3368

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-117632
IL
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
036117632
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036117632
LICENSE
IL
Enumeration date
05/01/2007
Last updated
09/23/2022
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