Provider Demographics
NPI:1528890993
Name:AHMED, YASOOB S (MBA, MSM, CCE, IHMP)
Entity type:Individual
Prefix:
First Name:YASOOB
Middle Name:S
Last Name:AHMED
Suffix:
Gender:M
Credentials:MBA, MSM, CCE, IHMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 CHATHAM RD # 4763
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4188
Mailing Address - Country:US
Mailing Address - Phone:847-489-5899
Mailing Address - Fax:
Practice Address - Street 1:1900 E GOLF RD STE 950Z
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5834
Practice Address - Country:US
Practice Address - Phone:630-331-4990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No174400000XOther Service ProvidersSpecialist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Supplier
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist