<Unavail>

LBN: Maqbool Ahmad
<Unavail> is an health care organization with primary practice located at 2900 Broadway St Suite B, Mount Vernon IL 62864-2341. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Maqbool Ahmad can be contacted via phone (618) 993-5686, or through Ahmad, Maqbool via phone (618) 993-5686.

Contact Information

Primary practice address
2900 Broadway St Suite B Mount Vernon IL 62864-2341
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
Map and Directions
Authorized official contact:
Name: Ahmad, Maqbool Doctor of Medicine (MD)
Phone: (618) 993-5686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 036051996 Illinois

Profile Details

NPI number 1033355631
LBN Legal business name Maqbool Ahmad
DBA Doing business as <Unavail>
Authorized official Ahmad, Maqbool Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2009
Last updated Apr 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033355631 NPPES
Illinois Other 51524 BCBS OF ILLINOIS
Illinois Other P00802628 BCBS OF ILLINOIS
Illinois Other A03147 BCBS OF ILLINOIS

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