Individual
DR. AMJAD ALI SAFVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 W STATE ROUTE 22, LAKE ZURICH, IL 60047-2552
(708) 827-5732
(708) 827-5742
Mailing address
721 W IL ROUTE 22, LAKE ZURICH, IL 60047-2552
(708) 827-5732
(708) 827-5742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-2215
GU
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD453599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067078A
—
IN
01
—
036-099445
IL MEDICAL LICENSE
IL
05
—
036-099445
—
IL
01
—
1739
PTAN IL
IL
01
—
336-059832
IL PHARMACY NUMBER
IL
Enumeration date
08/22/2005
Last updated
01/06/2026
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