Individual
IMRAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 232-0280
(630) 232-3895
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 232-0280
(630) 232-3895
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.090255
OH
207RI0011X
Interventional Cardiology Physician
Primary
036124567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124567
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147119
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RR MEDICARE PTAN (GROUP)
IL
01
—
F400118904
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
IL8618
MEDICARE PTAN (GROUP)
IL
01
—
P01098963
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/08/2008
Last updated
02/12/2014
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