Individual
HASSAN GOLCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 13TH ST, SUITE M, PEKIN, IL 61554-4936
(309) 353-0825
(309) 347-1246
Mailing address
600 S 13TH ST, SUITE M, PEKIN, IL 61554-4936
(309) 353-0825
(309) 347-1246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.087712
OH
208M00000X
Hospitalist Physician
036120513
IL
208M00000X
Hospitalist Physician
Primary
35.087712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2695490
—
OH
01
—
9015685
BCBS
—
01
—
R01334
PTAN
—
Enumeration date
09/28/2006
Last updated
04/06/2022
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