Individual
AHMAD TAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
(224) 610-2941
Mailing address
8110 LAKE RIDGE DR, BURR RIDGE, IL 60527-5975
(847) 688-1900
(224) 610-2941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36-055914
IL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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