Individual
KHALID F AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6449 S. PULASKI, CHICAGO, IL 60629
(773) 581-7300
(773) 581-7260
Mailing address
6449 S. PULASKI, CHICAGO, IL 60629
(773) 581-7300
(773) 581-7260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036051565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051565
—
IL
01
—
21609255
BCBS
IL
Enumeration date
11/20/2006
Last updated
07/14/2015
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