Individual
DR. JACK JOSEPH AMJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.152977
IL
207RP1001X
Pulmonary Disease Physician
Primary
72482
CT
Other
Enumeration date
06/28/2017
Last updated
04/18/2023
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