Individual
AMTUL HAJIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
(708) 460-5550
(708) 226-2595
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.134444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134444
—
IL
Enumeration date
09/21/2011
Last updated
07/18/2025
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