MEDICARE: PULMONARY, CRITICAL CARE & SLEEP MEDICINE SPECIALISTS, S. C./MCHENRY

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician		IL

General Provider Information

NPI Number	:	1184617318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY, CRITICAL CARE & SLEEP MEDICINE SPECIALISTS, S. C./MCHENRY

Provider Business Mailing Address
First Line	:	1710 N RANDALL RD
Second Line	:	SUITE 260
City	:	ELGIN
State	:	IL
Zip	:	60123-9400
Country	:	US
Telephone Number	:	847-931-7900
Fax Number	:	847-931-1562

Provider Business Practice Location Address
First Line	:	4309 W MEDICAL CENTER DR
Second Line	:	SUITE B210
City	:	MCHENRY
State	:	IL
Zip	:	60050-8419
Country	:	US
Telephone Number	:	815-759-9960
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZUBAIR AHMAD
Credential	:	M.D.
Telephone Number	:	847-381-4491

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	08/22/2020

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