MEDICARE: AFTAB AHMAD BME

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	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1407126709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFTAB AHMAD BME

Provider Business Mailing Address
First Line	:	200 EAST RANDOLPH STREET
Second Line	:	SUITE 2200
City	:	CHICAGO
State	:	IL
Zip	:	60601
Country	:	US
Telephone Number	:	312-334-2504
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E RANDOLPH ST
Second Line	:	SUITE 2200
City	:	CHICAGO
State	:	IL
Zip	:	60601-6436
Country	:	US
Telephone Number	:	312-334-2504
Fax Number	:

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

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	01/04/2012

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