# N HASAN MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154431971
- **Authorized official:** DR. NIDAL HASAN MD (PRESIDENT)
- **Authorized official phone:** (773) 978-4330

## Contact information

- **Practice address:** 2315 E 93RD ST STE 339, CHICAGO, IL 60617-3916
- **Practice address phone:** (773) 978-4330
- **Mailing address:** PO BOX 1200, ORLAND PARK, IL 60462-8200
- **Mailing address phone:** (773) 978-4330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036091656 | IL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/11/2007