Associates In Neurology, Ltd | |
2315 E 93rd St Ste 336 Chicago IL 60617-3948 | |
(773) 768-6400 | |
(773) 768-6373 |
Full Name | Associates In Neurology, Ltd |
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Speciality | Psychiatry & Neurology |
Location | 2315 E 93rd St Ste 336, Chicago, Illinois |
Authorized Official Name and Position | Shahida Ahmad (PRESIDENT) |
Authorized Official Contact | 7737686400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Neurology, Ltd 2315 E 93rd St Ste 336 Chicago IL 60617-3948 Ph: (773) 768-6400 | Associates In Neurology, Ltd 2315 E 93rd St Ste 336 Chicago IL 60617-3948 Ph: (773) 768-6400 |
NPI Number | 1245340413 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/29/2007 |
Medicare PECOS PAC ID | 2365450194 |
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Medicare Enrollment ID | O20070502000076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245340413 | NPI | - | NPPES |
036062159 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036062159 (Illinois) | Primary |
Provider Name | Shahida Ahmad |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588763650 PECOS PAC ID: 7416918271 Enrollment ID: I20070502000090 |
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