Provider Demographics
NPI:1215920533
Name:AHMAD, ZUBAIR (MD)
Entity type:Individual
Prefix:
First Name:ZUBAIR
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 N RANDALL RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-9400
Mailing Address - Country:US
Mailing Address - Phone:847-931-7900
Mailing Address - Fax:847-931-1562
Practice Address - Street 1:27720 W HIGHWAY 22
Practice Address - Street 2:SUITE 110
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2312
Practice Address - Country:US
Practice Address - Phone:847-381-4491
Practice Address - Fax:847-381-4498
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036060176207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036060176Medicaid
ILL98506Medicare ID - Type Unspecified
IL036060176Medicaid
ILL98510Medicare ID - Type Unspecified