Individual
MR. RIAZ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9535 KOSTNER AVE, SKOKIE, IL 60076-1329
(708) 770-9951
(708) 218-9877
Mailing address
9535 N KOSTNER AVE, SKOKIE, IL 60076-1329
(708) 770-9951
(708) 218-9877
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
453545303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453545303
—
IL
Enumeration date
10/21/2011
Last updated
10/21/2011
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