Individual
HASAN YAQUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3129
(217) 326-1550
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3129
(217) 326-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036166870
IL
Other
Enumeration date
05/20/2021
Last updated
12/13/2024
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