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NPI Code Detail

MEDICARE: DR. KAMRAN HUSSAIN O.D.

MEDICARE: DR. KAMRAN HUSSAIN O.D.
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
1152W00000XOptometrist046009594IL

General Provider Information

NPI Number : 1265634810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMRAN HUSSAIN O.D.
Provider Business Mailing Address
First Line : 3429 RIVERSIDE DR
Second Line :
City : WILMETTE
State : IL
Zip : 60091-1061
Country : US
Telephone Number : 847-452-5811
Fax Number :
Provider Business Practice Location Address
First Line : 635 CHICAGO AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-2365
Country : US
Telephone Number : 847-901-0781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 05/31/2022

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