Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversified Medical Services LLC

Organization Anesthesiology Physician · NPI 1780962506

Diversified Medical Services LLC is an Anesthesiology Physician in Fairview Heights, Illinois. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5023 N Illinois St Ste 1
Fairview Heights, IL 62208-3453
Phone: (618) 239-0678
Fax: (800) 516-2392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1780962506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shakeel Ahmed — President · (618) 239-0678
NPI enumeratedJuly 27, 2011
Last updated in NPPESSeptember 12, 2011
Mailing address5023 N Illinois St, Ste 1, Fairview Heights, IL 62208-3453

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