Individual
MISBAHUDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1056 SWIFT RD, LOMBARD, IL 60148-1670
(815) 549-6551
(888) 996-2325
Mailing address
1056 SWIFT RD, LOMBARD, IL 60148-1670
(815) 549-6551
(888) 996-2325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036052209
IL
207RX0202X
Medical Oncology Physician
Primary
036052209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052209
—
IL
Enumeration date
08/30/2006
Last updated
08/14/2023
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