Provider Demographics
NPI:1841978822
Name:USMAN, AHMED (RN)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:USMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27W127 COOLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1396
Mailing Address - Country:US
Mailing Address - Phone:331-903-7179
Mailing Address - Fax:
Practice Address - Street 1:27W127 COOLEY AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1396
Practice Address - Country:US
Practice Address - Phone:331-903-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.518321163WG0000X
IL209.031485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice