Basic Information
| Provider Information | |||||||||
| NPI: | 1558701664 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMATUL | ||||||||
| FirstName: | HABEEB | ||||||||
| MiddleName: | SADAF | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1860 PAYSPHERE CIR | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606747241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6304699200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 25 N WINFIELD RD STE 400 | ||||||||
| Address2: | |||||||||
| City: | WINFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601901379 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6304567178 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2013 | ||||||||
| LastUpdateDate: | 05/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01077076A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 125064210 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 01077076A | IN | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 036146746 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.