Individual
VASIA A AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17333 LA GRANGE RD STE 200, TINLEY PARK, IL 60487-7510
(708) 342-1900
(708) 745-9993
Mailing address
17901 GOVERNORS HWY STE 208, HOMEWOOD, IL 60430-1146
(708) 957-2100
(708) 745-9993
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036069477
IL
207RX0202X
Medical Oncology Physician
036069477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293780001
JURISDICTION B DME MAC
IL
05
—
036069477
—
IL
01
—
110204791
RAILROAD MED PIN
IL
Enumeration date
08/16/2005
Last updated
06/16/2025
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