HAITHAM HASSANE


Address: 2601 W Main St, Carbondale, IL 62901-1031
Phone: 6185495361

HAITHAM HASSANE (NPI# 1487065546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487065546
Entity Type Individual
Full Name HAITHAM HASSANE
Credential MBBCH
Practice Address 2601 W Main St
Carbondale
IL 62901-1031
Mailing Address Po Box 3988
Carbondale
IL 62902-3988
Practice Telephone 6185495361
Practice Fax Number 6183514878
Mailing Telephone 6184575200
Enumeration Date 2014-05-12
Last Update Date 2020-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
036146447 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ILLINOIS PHYSICIAN LICENSE 036.146447 01

Other Providers HAITHAM HASSANE

NPI Name Taxonomy Address Enumeration
1881192375 Haitham Noureldin Hassane Pharmacist 1536 N Atherton St, State College, PA 16803-3041 2018-01-30

Office Location

Street Address 2601 W MAIN ST
City CARBONDALE
State IL
Zip Code 62901-1031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548261399 Jeffrey M Lehman Allergy & Immunology 2601 W Main St, Carbondale, IL 62901-1031 2005-08-02
1043846421 Lindsay B Casolari Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2020-03-18
1194367318 Jessica Oakley Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2019-10-09
1609424399 Alexis Korbar Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2019-08-27
1184196883 Leslie Ann Hickman Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-12-19
1679041685 Kirsten Anne Beyers Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2018-11-07
1457834178 Brittany Elizabeth Pierce Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-09-09
1306322110 Katharine Johnson Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2018-07-15
1437699147 Gina Gladson Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2017-02-28
1902349863 Sarah Elizabeth Ruth Shannon Nurse Practitioner 2601 W Main St, Carbondale, IL 62901 2016-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104871722 Sawar's Neurological Institute, PC Internal Medicine 714 E Walnut St, Carbondale, IL 62901-3103 2006-05-23
1245280445 Amar Sawar Internal Medicine 301 Robinson Cir, Carbondale, IL 62901-1004 2006-05-11
1215228655 Sahithi Jarugula Internal Medicine 2601 W Main St, Carbondale, IL 62901-1031 2011-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558988345 Bashir Holdings Internal Medicine 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 2020-06-29
1336611409 Keith E Gilmer Internal Medicine 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 2018-12-29
1245643618 Jean Lin Internal Medicine 240 E Huron St # M300, Chicago, IL 60611-2909 2014-06-03
1922445097 Josna Haritha Internal Medicine 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 2013-05-30
1255776860 Alexander Geevarghese Internal Medicine 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 2013-05-08
1285078766 Sheela Metgud Internal Medicine 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 2013-04-26
1043551500 Nisha Dsilva Internal Medicine 10 Martin Ave Ste 140, Naperville, IL 60540 2013-03-08
1255694675 Heena Aditya Birbal Jain Internal Medicine 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 2012-06-20
1215296215 Beenish Nazir Hafiz Internal Medicine 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 2012-05-10
1699921353 Anna A. Stanislaus Internal Medicine 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 2008-08-13
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Competitor

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City CARBONDALE
Zip Code 62901

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Dataset Information

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.

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