Individual
AHMED ELBORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6747 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(773) 836-7246
(773) 637-4229
Mailing address
PO BOX 3336, HINSDALE, IL 60522-3336
(630) 245-1010
(630) 245-1011
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-095342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095342
—
IL
01
—
1635238
BCBS
IL
Enumeration date
07/07/2005
Last updated
03/18/2016
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