Provider Demographics
NPI:1740970615
Name:HAJRO, AMINA (DMD)
Entity type:Individual
Prefix:DR
First Name:AMINA
Middle Name:
Last Name:HAJRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3933 N CLARENDON AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3201
Mailing Address - Country:US
Mailing Address - Phone:773-656-1222
Mailing Address - Fax:
Practice Address - Street 1:3933 N CLARENDON AVE APT 303
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3201
Practice Address - Country:US
Practice Address - Phone:773-656-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program