MEDICARE: AHMED HASHIM MD

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	174400000X	Specialist	036101448	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841258266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED HASHIM MD

Provider Business Mailing Address
First Line	:	PO BOX 8577
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-7017
Country	:	US
Telephone Number	:	847-360-1000
Fax Number	:	847-360-1001

Provider Business Practice Location Address
First Line	:	310 S GREENLEAF ST
Second Line	:	SUITE 212
City	:	GURNEE
State	:	IL
Zip	:	60031-5708
Country	:	US
Telephone Number	:	847-360-1000
Fax Number	:	847-360-1001

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	01/16/2015

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