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NPI Code Detail

MEDICARE: AMINA MUHAMMAD

MEDICARE: AMINA MUHAMMAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720883895
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMINA MUHAMMAD
Provider Business Mailing Address
First Line : 5113 S HARPER AVE STE 2C
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4119
Country : US
Telephone Number : 773-606-8002
Fax Number :
Provider Business Practice Location Address
First Line : 8700 S DANTE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60619-7118
Country : US
Telephone Number : 833-717-4244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 02/13/2025

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Directions to “ AMINA MUHAMMAD ” Practice Location

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