Healthcare Provider Details

I. General information

NPI: 1992898878
Provider Name (Legal Business Name): AMINA BEGUM HAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 WEST AVE STE 100
ORLAND PARK IL
60462-4600
US

IV. Provider business mailing address

15300 WEST AVE STE 100
ORLAND PARK IL
60462-4600
US

V. Phone/Fax

Practice location:
  • Phone: 708-403-8400
  • Fax: 708-403-8492
Mailing address:
  • Phone: 708-403-8400
  • Fax: 708-403-8492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number336075163
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number036114156
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number60824
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: