Organization
DR TANVEER AHMAD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANVEER AHMAD MD (OWNER)
(815) 338-0900
Entity
Organization
Contact information
Practice address
335 BLAKELY ST, SUITE A, WOODSTOCK, IL 60098-3713
(815) 338-0900
(815) 338-5390
Mailing address
335 BLAKELY ST, SUITE A, WOODSTOCK, IL 60098-3713
(815) 338-0900
(815) 338-5390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072630
—
IL
Enumeration date
04/13/2007
Last updated
04/17/2008
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