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Contact Information

AHMED NADEEM, DO
103 NORTH OAK ST
O'FALLON, IL62269
 Phone: 618-624-3368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for AHMED NADEEM · (Male)

NPI # 1659592624
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/01/2007
Last updated 09/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-117632
  • IL License # 036117632
  • IL Other 036117632 LICENSE
Hospital affiliation(s)
  • INGALLS MEMORIAL HOSPITAL - (Acute Care)
    ONE INGALLS DRIVE
    HARVEY, IL 60426
  • 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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