Individual
DR. TABASSUM HANIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11900 SOUTHWEST HWY, PALOS PARK, IL 60464-1200
(708) 274-4900
(708) 274-4949
Mailing address
11900 SOUTHWEST HWY, PALOS PARK, IL 60464-1200
(708) 274-4900
(708) 274-4949
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036120489
IL
207RP1001X
Pulmonary Disease Physician
036120489
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036120489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120489
—
IL
01
—
P00707902
MEDICARE RAILROAD
IL
Enumeration date
07/05/2006
Last updated
04/08/2022
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