Individual
AISHA T AMUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-3055
(312) 926-5924
(312) 926-6134
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075779
IL
208000000X
Pediatrics Physician
125.075779
IL
208M00000X
Hospitalist Physician
Primary
036169861
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
08/13/2024
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