MEDICARE: DR. NAFEES U AHMED MD

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	207V00000X	Obstetrics & Gynecology Physician	036054337	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	336019017	OTHER	IL	CONTROLLED SUBSTANCE
2	36054337	OTHER	IL	PHYSICIAN LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912934308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAFEES U AHMED MD

Provider Business Mailing Address
First Line	:	2424 W. PETERSON
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659
Country	:	US
Telephone Number	:	773-761-0300
Fax Number	:	773-761-0009

Provider Business Practice Location Address
First Line	:	2424 W. PETERSON
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659
Country	:	US
Telephone Number	:	773-761-0300
Fax Number	:	773-761-0009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	01/31/2022

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