Organization
M. M. AHSAN S.C.
Active
Other names
Dr. Ahsan and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZEEM AHSAN D.O. (PHYSICIAN/ OWNER)
(815) 741-2525
Entity
Organization
Contact information
Practice address
1640 WILLOW CIRCLE DR, CREST HILL, IL 60435-0959
(815) 741-2525
(815) 741-2522
Mailing address
1640 WILLOW CIRCLE DR, 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
05
—
036069572 1
—
IL
05
—
036087646 1
—
IL
Enumeration date
03/20/2007
Last updated
01/08/2008
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