Dr. Hetal S Amin
Allergist & Immunologist
27240 W Saxony Dr Ste 203
Channahon
, Illinois 60410-1417
Dr. Hetal S Amin
Allergist & Immunologist
27240 W Saxony Dr Ste 203
Channahon
, Illinois 60410-1417
(815) 941-4363
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Hetal S Amin
- 725 School St Ste A
- Morris, IL
- Zip : 60450-1207
- Fax : (815) 941-4363
- Phone : (815) 941-9124
Second Address
- Dr. Hetal S Amin
- 27240 W Saxony Dr Ste 203
- Channahon, IL
- Zip : 60410-1417
- Fax : (815) 705-1301
- Phone : (815) 705-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 036111401 | IL |
National Provider Identifier
| NPI | 1184665424 |
|---|---|
| Provider Name | Dr. Hetal S Amin |
| First Address | Morris, IL 60450-1207 |
| Second Address | Channahon, IL 60410-1417 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 09/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2215242 | BCBS (01) | IL |
| I45961 | (02) | |
| P00297321 | RAIL ROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.