institution
Maqbool Ahmad
Ambulatory Surgical Clinic/Center in Mount Vernon, Illinois
NPI 1033355631

Maqbool Ahmad is an Ambulatory Surgical Clinic/Center based in Marion, IL and is specialized in Ambulatory Surgical. Maqbool Ahmad practices in Mount Vernon, IL. The NPI Number for Maqbool Ahmad is 1033355631 and holds a License No. 036051996 (Illinois).

The current practice location address for Maqbool Ahmad is 2900 Broadway St, Mount Vernon, IL and can be reached out via phone at 618-993-5686 and via fax at 618-997-6250.

Location: 2900 Broadway St, Mount Vernon, IL, 62959-4437
institution
Provider Profile Details
NPI Number
1033355631
Provider Name
Maqbool Ahmad
Credential
Provider Entity Type
Organization
Address
2900 Broadway St, Mount Vernon, IL, 62959-4437
Phone Number
618-993-5686
Fax Number
618-997-6250
Provider Enumeration Date
01/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51524 01 IL BCBS OF ILLINOIS
P00802628 01 IL MEDICARE RAILROAD
A03147 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
2900 Broadway St
City
State
Zip
62864-2341
Phone Number
618-993-5686
Fax Number
618-997-6250
person
Provider Business Mailing Address Details
Address
2900 Broadway St
City
State
Zip
62864-2341
Phone Number
618-993-5686
Fax Number
618-997-6250
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
036051996 (Illinois)
Definition
Definition to come...
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