Active NPI
Tazeen Fatima Al-Haq, M.D.
- Hospitalist Physician
- Springfield, IL
National Provider Identifier
1922448315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 60144
- Practice address
- 520 N 4TH St
Springfield, IL 62702-5238 - Phone
- (217) 757-8100
- Fax
- (217) 757-8161
- NPI assigned
- Jun 28, 2013
- Last updated
- Nov 1, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.063576 | IL | |
| Hospitalist Physician | 208M00000X | 60144 | MN | Primary |
Addresses
Primary practice location
520 N 4TH St
Springfield, IL 62702-5238
Mailing address
1504 Seven Pines Rd
Apt. H
Springfield, IL 62704-5796
Phone (217) 220-6126
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1922448315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 SEVEN PINES RD",
"address_2": "APT. H",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045796",
"telephone_number": "217-220-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025238",
"telephone_number": "217-757-8100",
"fax_number": "217-757-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-HAQ",
"first_name": "TAZEEN",
"middle_name": "FATIMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.063576",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MN",
"license": "60144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.