Individual
MOIZ HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 776-7265
(815) 777-2560
Mailing address
183 N EAST RIVER RD UNIT B2, DES PLAINES, IL 60016-1251
(847) 338-1958
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005969
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/12/2019
Last updated
06/23/2022
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