Individual
DR. HASAN DIAB HASAN SQOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR STE 204, CHICAGO, IL 60657-5640
(773) 665-3017
Mailing address
420 W WRIGHTWOOD AVE APT 227, CHICAGO, IL 60614-2899
(224) 336-0285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125079984
IL
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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