Individual
DR. SYED ALI HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 N AIRLITE, SUITE100, ELGIN, IL 60123
(847) 888-2320
(847) 888-2591
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036107005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000929765001
BC/BS OF WESTERN NY
NY
Enumeration date
06/23/2006
Last updated
08/08/2023
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