Individual
CHANDRA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1801 W TAYLOR ST STE 3F, CHICAGO, IL 60612-4795
(312) 355-1493
(312) 355-1987
Mailing address
1801 W TAYLOR ST STE 3F, CHICAGO, IL 60612-4795
(312) 355-1493
(312) 355-1987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036139682
IL
208600000X
Surgery Physician
35.093595
OH
208600000X
Surgery Physician
A115017
CA
208600000X
Surgery Physician
MD432412
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963468
—
OH
Enumeration date
04/28/2008
Last updated
07/21/2022
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