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Individual

MR. M HASSAN DIAB

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093
Mailing address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3651347
IL
207RH0003X
Hematology & Oncology Physician
Primary
3651347
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08100288
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/01/2005
Last updated
09/11/2025
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