N Hasan MD SC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036091656 Issued in IL

Legal business name

N HASAN MD SC

Practice address

2315 E 93Rd St Ste 339
Chicago, IL 60617-3916

Phone

(773) 978-4330

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nidal Hasan, MDNPI 1326024134

Title

President

Phone

(773) 978-4330

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nidal Hasan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
  • NPI 1326024134

  IN

  Medicare reassignment NPD Authorized official
• Paraskevi Sapountzi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Arlington Heights, IL
  • NPI 1932279635
  NPD (past)
• Gorantla M Chowdary, M.D.

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1689629776
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1154431971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604628200",
            "telephone_number": "773-978-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 339",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173916",
            "telephone_number": "773-978-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N HASAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-978-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036091656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200241230A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.