Individual
FATIMA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAGUIRE CENTER, RM 1900, MAYWOOD, IL 60153
(708) 216-8563
(708) 216-4948
Mailing address
2160 S 1ST AVE, MAGUIRE CENTER, RM 1900, MAYWOOD, IL 60153
(708) 216-8563
(708) 216-4948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36106108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36106108
—
IL
01
—
L90724
MEDICARE
IL
Enumeration date
01/27/2006
Last updated
04/22/2021
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