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Individual

DR. SYED MOHIUDDIN AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 COMMERCE DR STE 700, OAK BROOK, IL 60523-8865
(331) 732-4490
(331) 732-4491
Mailing address
1800 HOLLISTER DR, SUITE 112, LIBERTYVILLE, IL 60048-5263
(847) 367-6781
(847) 367-7384

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036-113652
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4915289
BLUE CROSS / BLUE SHIELD
IL
01
904190
GROUP ID LOCALITY 15
IL
Enumeration date
08/23/2007
Last updated
12/06/2023
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