Individual provider Active NPI

Syed Abdul Haseeb, SURGICAL ASSISTANT

  • Surgical Physician Assistant
  • Darien, IL
National Provider Identifier
1902118524
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
238.000237 Issued in IL
Practice address
1505 Old Oak
Darien, IL 60561
Phone
(630) 991-3874
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 238.000237 IL Primary

Addresses

Primary practice location

1505 Old Oak
Darien, IL 60561

Mailing address

1505 Old Oak
Darien, IL 60561
Phone (630) 991-3874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
238.000237ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Surgical Services LLC Surgical CurrentSince Jul 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902118524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 OLD OAK",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-991-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 OLD OAK",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-991-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEEB",
        "first_name": "SYED",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.