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Individual

AMINA HUSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20303 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1073
(708) 898-1858
Mailing address
8370 PARAGON RD, DAYTON, OH 45458-2135
(937) 223-9117
(937) 496-3595

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.148389
IL
207W00000X
Ophthalmology Physician
2008-00496
NC
207W00000X
Ophthalmology Physician
35097337
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054561
OH
01
2786593032
MYUTMB 2786593032-COMMERCIAL NUMBER
Enumeration date
06/14/2007
Last updated
11/23/2021
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