Whalio Doctors

NPI 1417069881

Faisal Ahmed, MD

Practitioner Child & Adolescent Psychiatry Physician Normal, IL

Practice location

Address
403 W Virginia Ave, Normal, IL 61761-3666
Phone
(309) 268-2568
Fax
(309) 268-2913

Registered specialties

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 036-123125 (IL)

Registry record

NPI
1417069881
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
3 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.