Individual
DR. AHMED N HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S. WASHINGTON ST, 6TH FLOOR CNICU, NAPERVILLE, IL 60540-6054
(630) 527-7235
Mailing address
801 S. WASHINGTON ST, 6TH FLOOR CNICU, NAPERVILLE, IL 60540
(630) 527-7235
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036121123
IL
2084N0400X
Neurology Physician
2010030926
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010030926
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147244
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01308445
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
08/06/2008
Last updated
02/04/2021
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