MEDICARE: AHMAD DAIF

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	2084N0400X	Neurology Physician	0101283881	VA
2	2084N0600X	Clinical Neurophysiology Physician	036147689	IL
3	2084N0400X	Neurology Physician	036147689	IL
4	2084N0400X	Neurology Physician	72541	TN
5	208D00000X	General Practice Physician	036147689	IL
6	2084N0400X	Neurology Physician	2024041394	MO

General Provider Information

NPI Number	:	1326459553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD DAIF

Provider Business Mailing Address
First Line	:	35318 EAGLE WAY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60678-1353
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	5841 S MARYLAND AVE # MC2030
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-1447
Country	:	US
Telephone Number	:	773-702-6222
Fax Number	:	773-834-7250

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

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	02/18/2026

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Directions to “ AHMAD DAIF ” Practice Location

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