Individual provider · Type 1 NPI

Amira Al-Basha, PA-C

Dermatology Physician · Rockford, IL

NPI number 1871063776 Active

Practice location

1639 N Alpine Rd Ste 380
Rockford, IL 61107-1440

Fax (815) 229-7288

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085006967 (IL)
Dermatology Physician Primary 207N00000X085.006967 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1871063776

Amira Al-Basha, PA-C's National Provider Identifier is 1871063776, issued on Dec 4, 2018. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 20, 2026.