Healthcare Provider Details

I. General information

NPI: 1023948429
Provider Name (Legal Business Name): AMRINA AKTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 W BELMONT AVE
CHICAGO IL
60657-4408
US

IV. Provider business mailing address

929 W BELMONT AVE
CHICAGO IL
60657-4408
US

V. Phone/Fax

Practice location:
  • Phone: 312-530-0323
  • Fax: 773-261-9029
Mailing address:
  • Phone: 312-530-0323
  • Fax: 773-261-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085012342
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: