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General NPI Number Information
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NPI Number | 1225770274
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Entity Type | Individual
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Provider Name | AHMED RADWAN DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 600 S PAULINA ST
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City | CHICAGO
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State | IL
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Zip | 60612-3806
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Country | US
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Telephone | 312-942-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E ARMOUR BLVD APT 103
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City | KANSAS CITY
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State | MO
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Zip | 64109-3027
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Country | US
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Telephone | 708-465-6619
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036175605
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License Number State | IL
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