Individual
ASEM HASAN WERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5673
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-133821
IL
208M00000X
Hospitalist Physician
Primary
036133821
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
GROUP MEDICARE PTAN
IL
Enumeration date
04/06/2011
Last updated
05/12/2017
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