Individual
DR. SYED M HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(217) 366-2670
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-110030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-110030
—
IL
05
—
PENDING
—
IL
Enumeration date
07/11/2006
Last updated
09/22/2022
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