Individual
AHMED RADWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 E MADISON ST FL 3, SPRINGFIELD, IL 62701-1035
(360) 492-4936
Mailing address
PO BOX 19642, SPRINGFIELD, IL 62794-9642
(217) 545-8229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01092808A
IN
2084P0800X
Psychiatry Physician
Primary
036161158
IL
Other
Enumeration date
05/05/2020
Last updated
03/15/2024
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