Individual
DR. HESHAM A HASSABALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-6200
Mailing address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-6210
(630) 898-6547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036105156
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036105156
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2025-0002
NM
207RP1001X
Pulmonary Disease Physician
036105156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215074
BLUE SHIELD PROVIDER NUMB
IL
05
—
036105156
—
IL
Enumeration date
05/04/2006
Last updated
04/21/2025
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