DR. ABDUL HANNAN (NPI# 1376908913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376908913 |
| Entity Type | Individual |
| Full Name | DR. ABDUL HANNAN |
| Credential | M.D |
| Practice Address |
315 W Carpenter St # B Springfield IL 62702 |
| Mailing Address |
Po Box 19678 Springfield IL 62794-9678 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175451141 |
| Mailing Telephone | 2175458000 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2018009560 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
125.074024 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 W Carpenter St # B, Springfield, IL 62702 | 2175458000 | 2175451141 |
| Street Address |
315 W CARPENTER ST # B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765724 | Calvin Abro | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702-4901 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841600491 | Karim Welaya | Internal Medicine | 3850 S National Ave Ste 520, Springfield, MO 65807-5230 | 2014-05-05 |
| 1780927459 | Paul J. Gill | Internal Medicine | 4750 E Bittersweet, Springfield, MO 65809-2402 | 2013-04-01 |
| 1568499770 | Robert Mocharnuk | Internal Medicine | 315 W Carpenter St # 2w106, Springfield, IL 62702-4901 | 2006-06-26 |
| 1871882787 | Siu Physicians & Surgeons, Inc | Internal Medicine | 315 W Carpenter St, Springfield, IL 62702-4901 | 2011-03-31 |
| 1952323271 | John C Mccann | Internal Medicine | 3350 Main St, Springfield, MA 01107-1112 | 2006-07-24 |
| 1740202076 | Richard H Steingart | Internal Medicine | 3350 Main St, Springfield, MA 01107-1112 | 2006-07-24 |
| 1407884182 | Michael Henry Rosen | Internal Medicine | 271 Carew St, Springfield, MA 01104 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922430842 | James Vincent Jordan Jr. | Internal Medicine | 3648 Duchess Ct, Downers Grove, IL 60515-1404 | 2013-08-01 |
| 1154579688 | Henry Frischer | Internal Medicine | 213 Donald Ter, Glenview, IL 60025-4715 | 2008-09-09 |
| 1699862706 | Jeffrey Sosman | Internal Medicine | 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 | 2006-10-09 |
| 1013010487 | Celalettin Ustun | Internal Medicine | 1725 W Harrison St Ste 1010, Chicago, IL 60612 | 2006-09-07 |
| 1164537825 | Hau Kwaan | Internal Medicine | 250 E Superior St Ste 5-2261, Chicago, IL 60611-2914 | 2006-08-20 |
| 1326151796 | Helen S Gue | Internal Medicine | 5053 S Damen Ave, Chicago, IL 60609-4718 | 2006-08-17 |
| 1053342428 | Ginny Kamboj | Internal Medicine | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2006-07-05 |
| 1801830534 | Sami Atassi | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2006-06-15 |
| 1548228711 | Jaya Kasturi | Internal Medicine | 1812 Broadway St, Melrose Park, IL 60160-2039 | 2006-05-03 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on DR. ABDUL HANNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.