Organization
HASSAN H YOUSSEF MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA WORKMAN (OFFICE MANAGER)
(815) 932-3132
Entity
Organization
Contact information
Practice address
400 S KENNEDY DR, STE 900, BRADLEY, IL 60915-2682
(815) 932-3132
(815) 932-2397
Mailing address
400 S KENNEDY DR, STE 900, BRADLEY, IL 60915-2682
(815) 932-3132
(815) 932-2397
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-081606
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081606
—
IL
Enumeration date
06/16/2008
Last updated
12/15/2022
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