Dr Ahsan and Assoc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036-111596 Issued in IL

Legal business name

DR AHSAN AND ASSOC.

Practice address

1640 Willow Circle Dr
Crest Hill, IL 60403-0959

Phone

(815) 741-2525

Fax

(815) 741-2522

NPI assigned

Mar 13, 2007

Last updated

Jul 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Villasenor Jr., MD

Title

Doctor

Phone

(708) 788-2801

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azeem Mohsin Ahsan, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Crest Hill, IL
  • NPI 1861543985
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1114050770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WILLOW CIRCLE DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030959",
            "telephone_number": "815-741-2525",
            "fax_number": "815-741-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 WILLOW CIRCLE DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030959",
            "telephone_number": "815-741-2525",
            "fax_number": "815-741-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AHSAN AND ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-788-2801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-111596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolar R Koya MD SC
• Bryce Donkor
• Dophyson Home Care LLC
• Facundo Benito Dovale, MD
• Courtney Ann Doyle, MSW, LSW
• Dropski Counseling, PC
• Heather Anne Dropski, LCPC
• Edward Health Ventures
• Jennifer Edwards, RN
• Hilary Eichie, NP

• Clinic/Center in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.