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1972564524
AHMAD BASTANI
CHICAGO, IL
NPI
1972564524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036082214)
Enumeration Date
2006-03-31
Last Update Date
2016-08-17
Business Address
-- AHMAD BASTANI MD
6033 N SHERIDAN RD SUITE S 8
CHICAGO, IL 60660
Phone number: 773-506-9600
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Mailing Address
-- AHMAD BASTANI MD
6033 N SHERIDAN RD SUITE S 8
CHICAGO, IL 60660
Phone number: 773-506-9600
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