Malik, Amna Mirza

Malik, Amna Mirza is an sole proprietor health care provider with primary practice located at 750 S Randall Rd , Algonquin IL 60102-5915. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Malik, Amna Mirza can be contacted via phone (847) 458-5343.

Contact Information

Primary practice address
750 S Randall Rd Algonquin IL 60102-5915
Fax: (847) 458-4344
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010021 Illinois

Profile Details

NPI number 1154389963
LBN Legal business name Malik, Amna Mirza
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated May 27th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154389963 NPPES
Illinois MEDICAID 046010021

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