Hasan, Nidal

Hasan, Nidal is an individual health care provider with primary practice located at 1747 E 87Th St B-390, Chicago IL 60617-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Hasan, Nidal can be contacted via phone (773) 978-4330.

Contact Information

Primary practice address
1747 E 87Th St B-390 Chicago IL 60617-2741
Phone: (773) 978-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036091656 Illinois

Profile Details

NPI number 1326024134
LBN Legal business name Hasan, Nidal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326024134 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036091656 BCBS OF IL

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