Siddiq Hasan MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036-111304 Issued in IL

Legal business name

SIDDIQ HASAN MD LLC

Practice address

7531 S Stony Island Ave
Chicago, IL 60649-3954

Phone

(773) 947-7587

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Siddiq Hasan, M. D.

Title

Director

Phone

(815) 272-7233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1992970487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIVER CT",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479368",
            "telephone_number": "815-272-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDIQ HASAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SIDDIQ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-272-7233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-111304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth A Sicinski
• Lindsay A Sicks, O.D.
• Siddhi Vinayak Dental
• Nidhal Siddig, MD
• Mikail Siddiki
• Alia Nasrin Siddiqi, MD
• Anadil Siddiqi
• Ayesha Siddiqi, M.D.
• Manhal Munir Siddiqi, MD
• Mohamed Siddiqi, M.D.

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.