Provider Demographics
NPI:1447353420
Name:HUSAIN, AMYNA (DO)
Entity type:Individual
Prefix:
First Name:AMYNA
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMYNA
Other - Middle Name:
Other - Last Name:SABIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7430
Mailing Address - Country:US
Mailing Address - Phone:630-527-5144
Mailing Address - Fax:815-731-3185
Practice Address - Street 1:801 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7430
Practice Address - Country:US
Practice Address - Phone:630-527-5144
Practice Address - Fax:815-731-3185
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34009650208000000X
MDH750062080P0204X
IL0361735262080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001437905Medicaid
OH3153591Medicaid
IL036173526OtherSTATE LICENSE