Individual
HASSAN G AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 W 203RD ST, SUITE 202, OLYMPIA FIELDS, IL 60461-1184
(708) 679-2661
(708) 503-3860
Mailing address
15538 LAKESIDE DR, ORLAND PARK, IL 60467-4595
(708) 340-8147
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.087480
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.087480
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400101250
MEDICARE PTAN
IL
Enumeration date
05/06/2013
Last updated
11/22/2023
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