Amira Al-Basha, PA-C
Dermatology in Rockford, IL. Individual provider (NPI-1).
NPI number1871063776
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1871063776
- Entity type
- Individual (NPI-1)
- Name
- Amira Al-Basha
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2018
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 085.006967 | IL | Yes |
| 363A00000X | Physician Assistant | 085006967 | IL |
Practice location
1639 N Alpine Rd Ste 380Rockford, IL 61107-1440
Phone 815-229-9333 · Fax 815-229-7288
Mailing address
1639 N Alpine Rd Ste 380Rockford, IL 61107-1440
Phone 815-229-9333 · Fax 815-229-7288
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology providers in Rockford, IL
- Advanced Facial Plastics & MohsNPI 1922295328
- Maria I Al-Basha, MDNPI 1922199967
- Amy L Brodsky, MDNPI 1205825056
- Edgebrook Dermatology P.C.NPI 1225184948
- Edgebrook Dermatology, PC.NPI 1710049234
- Albert W. Hudson, MDNPI 1053391334
- Paul Revis MD ScNPI 1952505422
- Paul Revis, M.D.NPI 1518984293
- Rockford Dermatology ScNPI 1487751335
- Saint Anthony Medical CenterNPI 1699968263
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.