Provider Demographics
NPI:1396881090
Name:NASIR J. AHMED, D.D.S.,LTD.
Entity type:Organization
Organization Name:NASIR J. AHMED, D.D.S.,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:J
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-685-9848
Mailing Address - Street 1:4391 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2147
Mailing Address - Country:US
Mailing Address - Phone:773-685-9848
Mailing Address - Fax:773-685-1633
Practice Address - Street 1:4391 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2147
Practice Address - Country:US
Practice Address - Phone:773-685-9848
Practice Address - Fax:773-685-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty