Provider Demographics
NPI:1033773080
Name:BUKHARI, AMARA (DC)
Entity Type:Individual
Prefix:DR
First Name:AMARA
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16119 WEBER RD
Mailing Address - Street 2:
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-8742
Mailing Address - Country:US
Mailing Address - Phone:815-556-8093
Mailing Address - Fax:815-267-6355
Practice Address - Street 1:16119 WEBER RD
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-8742
Practice Address - Country:US
Practice Address - Phone:815-556-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor