Individual
DR. AZEEM MOHSIN AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1640 WILLOW CIRCLE DR, SUITE 100, CREST HILL, IL 60435-0959
(815) 741-2525
(815) 741-2522
Mailing address
1640 WILLOW CIRCLE DR, SUITE 100, CREST HILL, IL 60435-0959
(815) 741-2525
(815) 741-2522
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14DO713656
CLIA
—
Enumeration date
01/15/2007
Last updated
01/09/2008
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