Individual
ADINA HATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857
Mailing address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005775
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400295875
MEDICARE PTAN FRANCISCAN ALLIANCE
IL
Enumeration date
02/24/2016
Last updated
01/17/2022
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