FAZAL AHMED MD PC (NPI# 1649567231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649567231 |
| Entity Type | Organization |
| Organization Name | FAZAL AHMED MD PC |
| Practice Address |
2340 S Highland Ave Suite 370 Lombard IL 60148-5371 |
| Practice Telephone | 6305193092 |
| Mailing Telephone | 6308735425 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | DR. FAZAL AHMED (PRESIDENT) |
| Authorized Official Telephone | 6306744646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI TYPE 1 | 1902917818 | 01 |
| IL | 202916 | 05 |
| Street Address |
2340 S HIGHLAND AVE SUITE 370 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939323 | Gregory C Castello | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2005-11-16 |
| 1407391212 | Davena Janeen Beal | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2017-01-03 |
| 1992247084 | Othman Orthodontics Inc | Dentist | 2340 S Highland Ave, Ste 310, Lombard, IL 60148-5371 | 2016-11-07 |
| 1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
| 1265858013 | Marian Glenn | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2014-03-17 |
| 1033542535 | Adventist Health Partners, Inc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-08-20 |
| 1063852895 | Amazehealth Weight Loss & Wellness, Sc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-06-25 |
| 1629415757 | Dr. Nicole Kott Ltd | Dentist | 2340 S Highland Ave, Suite 320, Lombard, IL 60148-5371 | 2013-05-30 |
| 1811266026 | Erin Valentino | Physician Assistant | 2340 S Highland Ave, Ste 370, Lombard, IL 60148-5371 | 2011-12-16 |
| 1588954150 | Usrc Advanced Home Therapies LLC | Clinic/Center | 2340 S Highland Ave, Ste 160, Lombard, IL 60148-5371 | 2011-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174965784 | Shifa Therapeutics LLC | Psychiatry & Neurology | 1019 Grove Ln, Lombard, IL 60148-2309 | 2013-07-24 |
| 1629363270 | Christina Vera Floreani | Psychiatry & Neurology | 420 S Ahrens Ave, Lombard, IL 60148-3006 | 2011-06-12 |
| 1568509008 | Kavita Shah | Psychiatry & Neurology | Crisis Intervention Unit, 440 S. Finley, Lombard, IL 60148 | 2007-02-01 |
| 1699773937 | Paul Milton Schyve | Psychiatry & Neurology | 865 E 22nd St, Apt. 120, Lombard, IL 60148-5072 | 2005-07-11 |
| 1952721698 | In Touch Physicians, LLC | Psychiatry & Neurology | 420 S Ahrens Ave, Lombard, IL 60148-3006 | 2014-04-21 |
| 1194896878 | Daniel B Martinez | Psychiatry & Neurology | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2006-11-13 |
| 1992772735 | Gerald J Mozdzierz | Psychiatry & Neurology | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
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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.