Individual
DR. AMIT PRABHAKAR AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Mailing address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036115302
IL
207RC0000X
Cardiovascular Disease Physician
2009008650
MO
207RI0011X
Interventional Cardiology Physician
2009008650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
01/06/2009
Last updated
09/12/2023
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