Individual
DR. MAHMOUD AMARNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1404
(630) 859-6800
(276) 258-1745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255574
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101255574
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
51133
TN
207RP1001X
Pulmonary Disease Physician
0101255574
VA
207RP1001X
Pulmonary Disease Physician
Primary
036-159075
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538321518
—
VA
01
—
P01516862
RR MEDICARE
VA
05
—
Q006170
—
TN
Enumeration date
06/30/2008
Last updated
10/05/2022
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