SIDDIQ S HASAN (NPI# 1679549356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679549356 |
| Entity Type | Individual |
| Full Name | SIDDIQ S HASAN |
| Credential | MD |
| Practice Address |
300 Barney Dr Suite A Joliet IL 60435-5296 |
| Practice Telephone | 8157440330 |
| Practice Fax Number | 8157440445 |
| Mailing Telephone | 8157440330 |
| Mailing Fax Number | 8157440445 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036111304 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF ILLINOIS | 9930030 | 01 |
| Street Address |
300 BARNEY DR SUITE A |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120668 | Anthony Proske Md Ltd | Psychiatry & Neurology | 300 Barney Dr, Suite C, Joliet, IL 60435-5296 | 2005-11-03 |
| 1124284849 | Center for Surgery & Breast Health, LLC | Surgery | 300 Barney Dr, Suite A, Joliet, IL 60435-5296 | 2008-08-01 |
| 1578538492 | Wendy J Marshall | Surgery | 300 Barney Dr, Suite A, Joliet, IL 60435-5296 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078910 | Bhavin Chandrakant Shah | Surgery | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2009-08-14 |
| 1164516217 | Center for Surgery & Breast Health, LLC | Surgery | 300 Barney Dr Ste A, Joliet, IL 60435-5269 | 2006-10-03 |
| 1427037043 | R K Natesh | Surgery | 1100 Essington Rd, Suite 6, Joliet, IL 60435-8425 | 2006-01-12 |
| 1780155325 | Neurocyst Incorporated | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2018-12-07 |
| 1235663782 | Midwest Surgery and Oncology Consultants LLC | Surgery | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2017-04-11 |
| 1821345349 | Lauren Michele Ghee | Surgery | 330 Madison St Ste 104, Joliet, IL 60435-6572 | 2012-08-14 |
| 1073871679 | Precision Surgical Consultants LLC | Surgery | 300 Barney Dr Ste A, Joliet, IL 60435-5269 | 2012-05-02 |
| 1598090870 | Cardinal Surgical Associates S C | Surgery | 1051 Essington Rd, Suite 230a, Joliet, IL 60435-2892 | 2009-10-05 |
| 1124284849 | Center for Surgery & Breast Health, LLC | Surgery | 300 Barney Dr, Suite A, Joliet, IL 60435-5296 | 2008-08-01 |
| 1114116134 | R.k. Natesh Md PC | Surgery | 1100 Essington Rd, Suite 6, Joliet, IL 60435-8425 | 2007-10-16 |
| Find all providers in JOLIET | ||||
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| 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.