Individual
SYED BASIR HUSSAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 S WOOD ST, CHICAGO, IL 60612-3890
(312) 942-5015
Mailing address
707 S WOOD ST, CHICAGO, IL 60612-3840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.169532
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
04/29/2024
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