| Ahmad Family Primary Care, S.c. | |
|
350 Surryse Rd Ste 240 Lake Zurich IL 60047 | |
| (847) 921-2144 | |
| Not Available |
| Full Name | Ahmad Family Primary Care, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Surryse Rd Ste 240, Lake Zurich, Illinois |
| Authorized Official Name and Position | Shad Ahmad (OWNER/MD) |
| Authorized Official Contact | 8473201900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Family Primary Care, S.c. 350 Surryse Rd Ste 240 Lake Zurich IL 60047-3217 Ph: (847) 320-1900 | Ahmad Family Primary Care, S.c. 350 Surryse Rd Ste 240 Lake Zurich IL 60047 Ph: (847) 921-2144 |
| NPI Number | 1861983694 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 08/09/2018 |
| Medicare PECOS PAC ID | 3779832977 |
|---|---|
| Medicare Enrollment ID | O20180821003753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861983694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-094910 (Illinois) | Primary |
| Provider Name | Shad S Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417941725 PECOS PAC ID: 6002710027 Enrollment ID: I20091230000046 |
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