| Ahmad Bastani Md | |
|
6033 N Sheridan Rd Suite S-8 Chicago IL 60660 | |
| (773) 506-9600 | |
| (773) 506-9655 |
| Full Name | Ahmad Bastani Md |
|---|---|
| Speciality | Family Medicine |
| Location | 6033 N Sheridan Rd, Chicago, Illinois |
| Authorized Official Name and Position | Ahmad Bastani (MD) |
| Authorized Official Contact | 7735069600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Bastani Md 6033 N Sheridan Rd Suite S-8 Chicago IL 60660 Ph: (773) 506-9600 | Ahmad Bastani Md 6033 N Sheridan Rd Suite S-8 Chicago IL 60660 Ph: (773) 506-9600 |
| NPI Number | 1316908965 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316908965 | NPI | - | NPPES |
| 4476749 | Other | IL | AETNA |
| 1606175 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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