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Contact Information

SIDRA AHMAD, OD
300 MEMORIAL DR STE 300
CRYSTAL LAKE, IL60014-6273
 Phone: 815-459-7110
 Fax: 815-459-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SIDRA AHMAD · (Female)

NPI Number 1366115206
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/27/2021
Last updated 05/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046011554
  • TX License # 11074T
Hospital affiliation(s) Not Available
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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