Individual
AAMINA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 671-8297
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209026016
LICENSE
IL
Enumeration date
10/20/2022
Last updated
10/20/2022
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