Organization
OCCU-MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDAL HASAN M.D. (PRESIDENT)
(219) 659-0333
Entity
Organization
Contact information
Practice address
2230 INDIANAPOLIS BLVD, WHITING, IN 46394-1956
(219) 659-0333
(219) 659-0336
Mailing address
PO BOX 699, WORTH, IL 60482-0699
(219) 659-0333
(219) 659-0336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
10/14/2015
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