Individual
BASHIRAHMED M AMEJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 EAST MAIN STREET, DANVILLE CORRECTIONAL CENTER MEDICAL DEPARTMENT, DANVILLE, IL 61834-5796
(217) 446-0441
Mailing address
3820 EAST MAIN STREET, DANVILLE CORRECTIONAL CENTER MEDICAL DEPARTMENT, DANVILLE, IL 61834-5796
(217) 446-0441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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