Healthcare Provider Details

I. General information

NPI: 1043725906
Provider Name (Legal Business Name): AMRASH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 VOLLMER RD
OLYMPIA FIELDS IL
60461-1179
US

IV. Provider business mailing address

3302 VOLLMER RD
OLYMPIA FIELDS IL
60461-1179
US

V. Phone/Fax

Practice location:
  • Phone: 708-864-2006
  • Fax:
Mailing address:
  • Phone: 708-864-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number016005700
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016005700
License Number StateIL

VIII. Authorized Official

Name: DR. RASHAD SAYEED
Title or Position: OWNER
Credential: DPM
Phone: 773-477-3668