M. M. Ahsan S.C.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

M. M. AHSAN S.C.

Practice address

1640 Willow Circle Dr
Crest Hill, IL 60435-0959

Phone

(815) 741-2525

Fax

(815) 741-2522

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Azeem Ahsan, D.O.

Title

Physician/ Owner

Phone

(815) 741-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Ahsan and Associates Doing business as

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1891810677",
    "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": "604350959",
            "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": "604350959",
            "telephone_number": "815-741-2525",
            "fax_number": "815-741-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. M. AHSAN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "AHSAN",
        "authorized_official_first_name": "AZEEM",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "815-741-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087646 1",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069572 1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Ahsan and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Terrence Lennon, LCSW
• Gina A Leno, PT
• Margaret Ann Lewandowski, FNP
• Jerome Charles Lietz, OD
• Karina Lopez
• Xiaoyu Ma
• Kelli Majka
• Catherine Malooly, MPT
• Sirisha Mandadi, DDS
• Shwetha Manjunath, MD

• Geriatric Medicine (Family Medicine) Physician in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.