MEDICARE: MAQBOOL AHMAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	036051996	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00802628	OTHER	IL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51524	OTHER	IL	BCBS OF ILLINOIS
3	A03147	OTHER	IL	HEALTHLINK

General Provider Information

NPI Number	:	1033355631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAQBOOL AHMAD

Provider Business Mailing Address
First Line	:	1200 W DEYOUNG ST
Second Line	:	P.O. BOX 1178
City	:	MARION
State	:	IL
Zip	:	62959-4437
Country	:	US
Telephone Number	:	618-993-5686
Fax Number	:	618-997-6250

Provider Business Practice Location Address
First Line	:	2900 BROADWAY ST
Second Line	:	SUITE B
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2341
Country	:	US
Telephone Number	:	618-993-5686
Fax Number	:	618-997-6250

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAQBOOL AHMAD
Credential	:	M.D.
Telephone Number	:	618-993-5686

Provider Enumeration Date	:	01/02/2009
Last Update Date	:	04/29/2010

Similar Medicare Providers

1063709731 — ERIN HOCKING AYERS O.D.
Practice Location Address:

2900 BROADWAY ST , SUITE A
MOUNT VERNON, IL
62864-2341

Practice Phone: 618-244-2777
Practice Fax: 618-997-6250

1992860548 — MARION EYE CENTERS LTD
Practice Location Address:

2900 BROADWAY ST , STE. A
MOUNT VERNON, IL
62864-2341

Practice Phone: 618-244-7777
Practice Fax: 618-899-9022

1295156669 — MARION EYE SURGERY CENTER LLC
Practice Location Address:

2900 BROADWAY ST , SUITE B
MOUNT VERNON, IL
62864-2341

Practice Phone: 618-969-8700
Practice Fax: 618-899-9020

1346698602 — MARION EYE SURGERY CENTER LLC
Practice Location Address:

2900 BROADWAY ST , STE. B
MOUNT VERNON, IL
62864-2341

Practice Phone: 618-969-8700
Practice Fax: 618-899-9020

1730863358 — MADELINE CAREY OLSON
Practice Location Address:

2900 BROADWAY ST
MOUNT VERNON, IL
62864-2341

Practice Phone: 618-244-2777
Practice Fax:

1053673517 — RACHEL YVETTE DENARO
Practice Location Address:

262 PRIMROSE AVE
MOUNT VERNON, NY
10552-2341

Practice Phone: 347-255-1071
Practice Fax:

Directions to “MAQBOOL AHMAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.