MEDICARE: REHAB HUSSAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	054.023201	IL

General Provider Information

NPI Number	:	1093687535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REHAB HUSSAIN

Provider Business Mailing Address
First Line	:	375 E NORTH AVE STE A
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3473
Country	:	US
Telephone Number	:	414-412-1238
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 E NORTH AVE STE A
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3473
Country	:	US
Telephone Number	:	414-412-1238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	10/24/2025

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Directions to “ REHAB HUSSAIN ” Practice Location

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