Individual
DR. MUSTAFA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, MC 6090, CHICAGO, IL 60637-1447
(773) 702-5438
(773) 834-5295
Mailing address
5841 S MARYLAND AVE, MC 6090, CHICAGO, IL 60637-1447
(773) 702-5438
(773) 834-5295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036128675
IL
208600000X
Surgery Physician
239499
NY
Other
Enumeration date
05/23/2008
Last updated
10/31/2011
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