Individual
SAKHAWAT HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16250 LOUIS AVE, SOUTH HOLLAND, IL 60473-2260
(708) 333-0001
(708) 333-0042
Mailing address
16250 LOUIS AVE, SOUTH HOLLAND, IL 60473-2260
(708) 333-0001
(708) 333-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100606
FEDERAL BLACK LUNG PROGRA
—
01
—
21628534
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/12/2006
Last updated
09/11/2025
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