Healthcare Provider Details

I. General information

NPI: 1780128231
Provider Name (Legal Business Name): A.M. HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E 22ND PL
STERLING IL
61081-1263
US

IV. Provider business mailing address

17 E 22ND PL
STERLING IL
61081-1263
US

V. Phone/Fax

Practice location:
  • Phone: 773-454-9921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHOK KUMAR MAINI
Title or Position: OWNER- MD
Credential: MD
Phone: 773-454-9921