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Individual

DR. ASIMA K HUSSAINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
(815) 937-5966
Mailing address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
(815) 937-5966

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108934
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108934
IL
01
4632039
BC
IL
Enumeration date
03/31/2006
Last updated
03/22/2021
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