Individual provider · NPI-1

Alya N. Ahsan, DO

Hospitalist · Evanston, IL

NPI number1962813907
StatusActive
Last updated in NPPESOct 7, 2019

Details

NPI
1962813907
Entity type
Individual (NPI-1)
Name
Alya N. Ahsan
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2014
Last updated
Oct 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist036.141839ILYes
207R00000X Internal Medicine036141839IL

Practice location

26250 Ridge Ave
Evanston, IL 60201

Phone 847-570-2509 · Fax 847-733-5108

Mailing address

2650 Ridge Ave # 4210
Evanston, IL 60201-1700

Phone 847-570-1010 · Fax 847-733-5108

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