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Individual

AMNA MIRZA MALIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
750 S RANDALL RD, ALGONQUIN, IL 60102-5915
(847) 458-5343
(847) 458-4344
Mailing address
10883 CONCORD LN, HUNTLEY, IL 60142-4041
(832) 641-3351

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010021
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046010021
IL
Enumeration date
05/02/2006
Last updated
05/27/2014
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