Healthcare Provider Details

I. General information

NPI: 1003379132
Provider Name (Legal Business Name): HANIYA SAEED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2019
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2332
US

IV. Provider business mailing address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2315
US

V. Phone/Fax

Practice location:
  • Phone: 312-567-2000
  • Fax: 312-567-6073
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301507561
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: