Individual
DR. HASAN B ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2729
Mailing address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2729
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
224253
MA
208600000X
Surgery Physician
4301101784
MI
2086S0102X
Surgical Critical Care Physician
224253
MA
2086S0102X
Surgical Critical Care Physician
4301104784
MI
2086S0127X
Trauma Surgery Physician
Primary
036153320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102587
—
MA
01
—
468294
TUFTS HEALTH PLAN
MA
01
—
J28695
BCBS OF MA
MA
Enumeration date
11/30/2005
Last updated
10/08/2020
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