Provider Demographics
NPI:1669368908
Name:AHMED, ZOYA S
Entity type:Individual
Prefix:
First Name:ZOYA
Middle Name:S
Last Name:AHMED
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S MICHIGAN AVE APT 214
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-0800
Mailing Address - Country:US
Mailing Address - Phone:872-222-1269
Mailing Address - Fax:
Practice Address - Street 1:820 S MICHIGAN AVE APT 214
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-0800
Practice Address - Country:US
Practice Address - Phone:872-222-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.036094122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist