Individual
DR. NADEEM HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-4056
(930) 933-4057
Mailing address
25 N WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-4056
(930) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.117294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036117294
—
IL
01
—
206147
MEDICARE GROUP NUMBER
IL
01
—
363149833
TAX IDENTIFICAITON NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
01
—
P00651310
MEDICARE RAILROAD
IL
Enumeration date
05/29/2007
Last updated
04/04/2013
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