Fazal Ahmed Md Pc

LBN: Fazal Ahmed Md Pc
Fazal Ahmed Md Pc is an health care organization with primary practice located at 2340 S Highland Ave Suite 370, Lombard IL 60148-5371. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Fazal Ahmed Md Pc can be contacted via phone (630) 519-3092, or through Ahmed, Fazal via phone (630) 674-4646.

Contact Information

Primary practice address
2340 S Highland Ave Suite 370 Lombard IL 60148-5371
Phone: (630) 519-3092
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Fazal
Phone: (630) 674-4646

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1649567231
LBN Legal business name Fazal Ahmed Md Pc
DBA Doing business as
Authorized official Ahmed, Fazal
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2011
Last updated Dec 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649567231 NPPES
Illinois MEDICAID 202916
Illinois Other 1902917818

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