Individual
SUNDUS AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6101 DEMPSTER ST, MORTON GROVE, IL 60053-2952
(847) 581-6100
Mailing address
6101 DEMPSTER ST, MORTON GROVE, IL 60053-2952
(847) 581-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004598
IL
Other
Enumeration date
04/30/2013
Last updated
12/06/2014
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