Individual
HAMID M HUMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 700, CHICAGO, IL 60625-3645
(773) 784-2101
(773) 784-0771
Mailing address
5140 N CALIFORNIA AVE, SUITE 700, CHICAGO, IL 60625-3645
(773) 784-2101
(773) 784-0771
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-053426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-053426
ILL LICENSE-
IL
05
—
036-053426
—
IL
01
—
316-00757-78
BLUECROSS BLUE SHEILD
IL
Enumeration date
07/17/2006
Last updated
07/09/2007
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