| Doctor Name: | DR. EBRAHIM AMANI |
| NPI Number: | 1386615904 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 36-95344 |
| Business Practice Address: | 1049 E Wilson St Suite 160b Batavia, IL - 605102474 |
| Business Phone Number: | 6302322776 |
| Business Fax Number: | |
| Mailing Address: | 1049 E Wilson St, Suite 160b BATAVIA |
| State: | IL |
| Postal Code: | 605102474 |
| Phone Number: | 6302322776 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2006 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 36-95344 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |