Individual
DR. RANDA M HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-7500
(312) 413-3856
Mailing address
820 S WOOD ST # MC808, CHICAGO, IL 60612-4325
(312) 996-7006
(312) 996-4238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036115666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010122910
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/11/2006
Last updated
01/20/2022
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