Individual
DR. FAISAL HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Mailing address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042988
CT
207RC0000X
Cardiovascular Disease Physician
042988
CT
207RI0011X
Interventional Cardiology Physician
Primary
036158136
IL
207RI0011X
Interventional Cardiology Physician
042988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BHB359312
CONTROLLED SUBSTANCE REG.
CT
Enumeration date
06/17/2006
Last updated
09/29/2021
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