Individual
AMINAH AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(815) 921-9200
Mailing address
3427 E DOBSON PL, ANN ARBOR, MI 48105-2583
(734) 489-4075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005290
IL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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