Individual
ASYA YASMINE HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-2000
(309) 655-2274
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(248) 930-2159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
03/25/2024
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