IndividualActive
Fazal Ahmed, MD
NPI 1902917818 · Child & Adolescent Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1902917818
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Allopathic & Osteopathic Physicians
Practice location
1901 W Harrison St
Room # 3022
Chicago, IL 60612-3714
Phone: (312) 864-6007
Fax: (312) 864-9371
Approximate (ZIP-level) locationGet directions
Mailing address
1901 W Harrison St
Chicago, IL 60612-3714
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.