Individual
THAER AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4393
(708) 684-1028
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4393
(708) 684-1028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-142683
IL
207P00000X
Emergency Medicine Physician
4301105787
MI
Other
Enumeration date
07/02/2014
Last updated
04/28/2022
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