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Individual

SADIA HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
8600 75TH ST STE 101, KENOSHA, WI 53142-8200
(262) 652-9430
(262) 652-9433
Mailing address
9977 WOODS DR STE 200, SKOKIE, IL 60077-1057
(847) 663-8163
(847) 663-1024

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036145178
IL
208000000X
Pediatrics Physician
8142021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356722961
WI
Enumeration date
06/10/2015
Last updated
05/30/2024
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