DR. IMAD AHMADO (NPI# 1427068162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427068162 |
Entity Type | Individual |
Full Name | DR. IMAD AHMADO |
Credential | MD |
Practice Address |
19550 Governors Hwy Ste 2200 Flossmoor IL 60422-2137 |
Mailing Address |
27702 Network Pl Chicago IL 60673-1277 |
Practice Telephone | 7087990180 |
Practice Fax Number | 7087982870 |
Mailing Telephone | 7088627674 |
Mailing Fax Number | 7088621781 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 036.111113 | IL | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036.111113 | IL | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036.111113 | IL | Allopathic & Osteopathic Physicians |
Street Address |
19550 GOVERNORS HWY STE 2200 |
City | FLOSSMOOR |
State | IL |
Zip Code | 60422-2137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
Find all providers in zip 60422 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.