Individual
HASAN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 ROXBURY RD, ROCKFORD, IL 61107-5078
(815) 381-7340
Mailing address
401 ROXBURY RD, ROCKFORD, IL 61107-5075
(815) 397-7340
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
68729
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275989998
—
WI
Enumeration date
05/12/2016
Last updated
09/17/2025
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