Hada Cosmetic Medicine LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HADA COSMETIC MEDICINE LLC

Practice address

1 E Main St
Champaign, IL 61820-3654

Phone

(217) 693-4400

Fax

(217) 356-5849

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne R Trupin, M.D

Title

Ceo

Phone

(217) 693-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972654515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203654",
            "telephone_number": "217-693-4400",
            "fax_number": "217-356-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203654",
            "telephone_number": "217-693-4400",
            "fax_number": "217-356-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADA COSMETIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUPIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-693-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Gutierrez, MD
• Kelly Mae Guzlas
• Aamer Habib, MD
• Ihsan Suhail Habib, MD
• Arianna Shae Hackett, MS
• Abdelkrim Hadj Said, PH. D.
• Alec R Hager
• Joshua H Hagerstrom, LPC
• Haider W Aljewari DMD Ms PLLC
• Yasser Ali Haider, M.D.

• Dermatology Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.