Individual
DR. JOHARA ADAM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-2034
Mailing address
820 S WOOD ST, SUITE 172 (MC 712), CHICAGO, IL 60612-4325
(312) 996-5680
(312) 996-5984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036109970
IL
207R00000X
Internal Medicine Physician
2020039485
MO
207R00000X
Internal Medicine Physician
Primary
MD-44833
IA
208M00000X
Hospitalist Physician
036109970
IL
208M00000X
Hospitalist Physician
2020039485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109970
PROFESSIONAL LICENSE
IL
05
—
036109970
—
IL
01
—
336072134
CONTROLLED SUBSTANCE
IL
Enumeration date
05/23/2006
Last updated
01/21/2025
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