Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036127893 | IL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 220177 | MA |
Y | 207YP0228X | Pediatric Otolaryngology | 036.127893 | IL |
NPI | 1982675310 |
---|---|
Provider Name | Dr. Manali S Amin |
First Address | Naperville, IL 60540-9310 |
Second Address | Naperville, IL 60540-9310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036127893 | (05) | IL |