Provider Demographics
NPI:1003226960
Name:AMR ENTERPRISES LLC
Entity Type:Organization
Organization Name:AMR ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SAFVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-650-0580
Mailing Address - Street 1:2200 S MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5365
Mailing Address - Country:US
Mailing Address - Phone:630-519-3485
Mailing Address - Fax:630-230-8386
Practice Address - Street 1:2200 S MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5365
Practice Address - Country:US
Practice Address - Phone:630-519-3485
Practice Address - Fax:630-230-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360994452085R0204X
IL036-099445261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MobileGroup - Multi-Specialty