Samira Hussain, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036143890 Issued in IL

Practice address

1786 Moon Lake Blvd Ste 201
Hoffman Estates, IL 60169-1067

Phone

(847) 884-7550

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexian Brothers Medical Care Group NFP

  • Pulmonary Disease Physician
  • Elk Grove Village, IL
  • NPI 1518420413
  NPD (past)
• Bonaventure Medical Foundation, LLC

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1194135400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 201",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691067",
            "telephone_number": "847-884-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 201",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691067",
            "telephone_number": "847-884-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SAMIRA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hao Hua, MD
• Kendra Marie Huizinga, M.A
• Imge Hulur, MD
• Christopher James Hummel, M.D., M.P.H.
• Dennis R Humphrey, LCPC
• Syed Asif Hussain, D.P.M
• Syed Babar Hussain, MD
• Michelle Hyman, LCSW
• Ideal Self, Inc.
• Skyler Ray Ignacio

• Pediatrics Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.