Healthcare Provider Details

I. General information

NPI: 1518800440
Provider Name (Legal Business Name): BHUMIKA AMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 E IRVING PARK RD
STREAMWOOD IL
60107-3073
US

IV. Provider business mailing address

815 E IRVING PARK RD
STREAMWOOD IL
60107-3073
US

V. Phone/Fax

Practice location:
  • Phone: 847-502-7864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.036080
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF06260078
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: