Individual
AMENAH BASITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3487 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-1842
(847) 870-0506
Mailing address
PO BOX 9, ADDISON, IL 60101-0009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
08/27/2025
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