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Contact Information

FAZAL AHMED, MD
1901 W HARRISON ST
ROOM # 3022
CHICAGO, IL60612-3714
 Phone: 312-864-6007
 Fax: 312-864-9371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FAZAL AHMED · (Male)

NPI # 1902917818
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 04/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-107430
Hospital affiliation(s)
  • PROVIDENT HOSPITAL OF CHICAGO - (Acute Care)
    500 E 51ST ST
    CHICAGO, IL 60615
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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