Individual
DR. HETAL S AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27240 W SAXONY DR STE 203, CHANNAHON, IL 60410-1417
(815) 705-1300
(815) 705-1301
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036111401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215242
BCBS
IL
01
—
P00297321
RAIL ROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
12/09/2021
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