- Practice location
- 2160 S 1ST Ave, Maywood, IL 60153-3328
- Phone
- 888-584-7888
- Fax
- —
- Last updated
- April 18, 2023
Jack Joseph Amja is an Internal Medicine, Pulmonary Disease based in Maywood, IL. Jack Joseph Amja practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Jack Joseph Amja is 1225559529 and holds a License No. 036.152977 (IL). The current practice location address for Jack Joseph Amja is 2160 S 1ST Ave, Maywood, IL 60153-3328 and can be reached out via phone at 888-584-7888.
Provider Profile Details
- NPI Number
- 1225559529
- Provider Name
- Jack Joseph Amja
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2160 S 1ST Ave, Maywood, IL 60153-3328
- Phone Number
- 888-584-7888
- Primary Taxonomy
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2017
- Last Update Date
- April 18, 2023
- Certification Date
- April 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2160 S 1ST Ave
Maywood, IL 60153-3328 - City
- Maywood
- State
- Illinois
- Zip
- 60153-3328
- Phone Number
- 888-584-7888
Provider Business Mailing Address Details
- Address
- 2160 S 1ST Ave
Maywood, IL 60153-3328 - City
- Maywood
- State
- IL
- Zip
- 60153-3328
License Information
- License Number (1)
- 036.152977
- License State (1)
- IL
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 72482
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jack J Amja, MD?
The NPI number of Dr. Jack J Amja, MD is 1225559529. It was assigned on June 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack J Amja, MD?
Dr. Jack J Amja, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in IL under license number 036.152977.
Where does Dr. Jack J Amja, MD practice?
The practice location is 2160 S 1ST Ave, Maywood, IL 60153-3328. The office can be reached at 888-584-7888 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225559529 directly on the NPPES registry website.