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NPI Code Detail

MEDICARE: CHAUDHARY FAIZAN AHMED M.D

MEDICARE: CHAUDHARY FAIZAN AHMED M.D
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician036.149792IL
2208M00000XHospitalist Physician036149792IL
3207R00000XInternal Medicine Physician036.149792IL

General Provider Information

NPI Number : 1144637380
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAUDHARY FAIZAN AHMED M.D
Provider Business Mailing Address
First Line : 856 W NELSON ST APT 1206
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9202
Country : US
Telephone Number : 872-305-2337
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 01/27/2026

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