Ahmed, Fazal

Ahmed, Fazal is an individual health care provider with primary practice located at 1901 W Harrison St Room # 3022, Chicago IL 60612-3714. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Ahmed, Fazal can be contacted via phone (312) 864-6007.

Contact Information

Primary practice address
1901 W Harrison St Room # 3022 Chicago IL 60612-3714
Phone: (312) 864-6007
Fax: (312) 864-9371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-107430 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-107430 Illinois

Profile Details

NPI number 1902917818
LBN Legal business name Ahmed, Fazal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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