Organization
NADEEM HANIF, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM HANIF M.D. (PRESIDENT)
(815) 397-7212
Entity
Organization
Contact information
Practice address
5668 E STATE ST, SUITE B600, ROCKFORD, IL 61108-2490
(815) 397-7212
(815) 397-2539
Mailing address
5668 E STATE ST, SUITE B600, ROCKFORD, IL 61108-2490
(815) 397-7212
(815) 397-2539
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101 32066
BLUE CROSS BLUE SHIELD
IL
01
—
P00001224
RAILROAD MEDICARE
IL
Enumeration date
08/18/2006
Last updated
03/11/2008
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