Healthcare Provider Details

I. General information

NPI: 1144269341
Provider Name (Legal Business Name): SYED F HUSSAINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 N SHERIDAN RD PEDS CARE SC.
CHICAGO IL
60640-2514
US

IV. Provider business mailing address

5310 N SHERIDAN RD PEDS CARE SC.
CHICAGO IL
60640-2514
US

V. Phone/Fax

Practice location:
  • Phone: 773-878-3750
  • Fax: 773-878-3754
Mailing address:
  • Phone: 773-878-3750
  • Fax: 773-878-3754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: