| Nasreen Fatima Ahmed, MD | |
|
801 S Milwaukee Ave, Libertyville, IL 60048-3204 | |
| (847) 990-5450 | |
| Not Available |
| Full Name | Nasreen Fatima Ahmed |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 801 S Milwaukee Ave, Libertyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699070540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036131857 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036131857 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Nasreen Fatima Ahmed, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Nasreen Fatima Ahmed, MD 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 990-5450 |
Odulola Odusanya, MBBS Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-990-2165 | |
Aalisha Desai, Hospitalist Medicare: Medicare Enrolled Practice Location: 1800 Hollister Dr Ste 112, Libertyville, IL 60048 Phone: 847-367-6781 |