Individual
MR. BILAAL M HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Mailing address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041435044
IL
363L00000X
Nurse Practitioner
209025072
IL
363LF0000X
Family Nurse Practitioner
Primary
209025072
IL
Other
Enumeration date
03/14/2022
Last updated
04/18/2022
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