Individual
AMI ATULKUMAR DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 W HARRISON ST, CHICAGO, IL 60612-3800
(312) 942-5000
Mailing address
1650 W HARRISON ST, CHICAGO, IL 60612-3800
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2024-01634
NC
390200000X
Student in an Organized Health Care Education/Training Program
125.071834
IL
Other
Enumeration date
05/16/2018
Last updated
08/12/2024
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