Individual
AMANY AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 PENNSYLVANIA AVE STE 110, GLEN ELLYN, IL 60137-4464
(630) 946-2020
(630) 432-6754
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.156197
IL
208600000X
Surgery Physician
125.069173
IL
Other
Enumeration date
04/15/2016
Last updated
08/03/2023
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