Individual
MAAZA GIRMA G-AMLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-3220
Mailing address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-3220
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036125473
IL
Other
Enumeration date
06/11/2008
Last updated
12/10/2020
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