Individual
KETAN AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD STE 103, WINFIELD, IL 60190-1379
(630) 933-6930
(630) 933-2009
Mailing address
25 N WINFIELD RD STE 103, WINFIELD, IL 60190-1379
(630) 933-6930
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0055536
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036121177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21820058
—
CO
Enumeration date
09/25/2008
Last updated
01/20/2023
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