Active NPI
Syed Abdul Hannan, APN-CNP
- Nurse Practitioner
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277003331
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1700 - Phone
- (847) 425-6400
- NPI assigned
- Oct 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11015958 | FL | |
| Nurse Practitioner | 363L00000X | 277003331 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
1085 NE 126th St
North Miami, FL 33161-4271
Phone (847) 757-9389
Other practice location 2
2751 W Winona St
Chicago, IL 60625-2508
Phone (847) 425-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803
5140 N California Ave
Chicago, IL 60625-3645
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015958 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2751 W Winona St
Chicago, IL 60625
Phone (773) 907-7700
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, IN
- NPI 1689629990
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1134901135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1265196695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-425-6400"
}
],
"practiceLocations": [
{
"address_1": "1085 NE 126th St",
"address_purpose": "LOCATION",
"city": "North Miami",
"state": "FL",
"postal_code": "331614271",
"country_code": "US",
"telephone_number": "847-757-9389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2751 W Winona St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606252508",
"country_code": "US",
"telephone_number": "847-425-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNAN",
"first_name": "SYED",
"middle_name": "ABDUL",
"credential": "APN-CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-22",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11015958",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277003331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.