Individual
S J HASANAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 W NORTH AVE, SUITE 309, MELROSE PARK, IL 60160
(708) 450-5757
(708) 344-0095
Mailing address
675 W NORTH AVE, S J HASANAIN MD SUITE 309, MELROSE PARK, IL 60160
(708) 450-5757
(708) 344-0095
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036045225
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045225
—
IL
01
—
06000190
RAILROAD MEDICARE
—
01
—
21604034
BCBS
—
01
—
303160
WELLCARE
—
Enumeration date
09/14/2006
Last updated
02/04/2010
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