Healthcare Provider Details

I. General information

NPI: 1679729792
Provider Name (Legal Business Name): UZMA NAVEEN HASAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: UZMA NAVEEN SIDDIQUI M.D.

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 CHILDRENS PLAZA BOX # 20 DIVISION OF INFECTIOUS DISEASES
CHICAGO IL
60614
US

IV. Provider business mailing address

2300 CHILDRENS PLAZA BOX # 20 DIVISION OF INFECTIOUS DISEASES
CHICAGO IL
60614
US

V. Phone/Fax

Practice location:
  • Phone: 773-880-4949
  • Fax: 773-880-8626
Mailing address:
  • Phone: 773-880-4949
  • Fax: 773-880-8626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA08830400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number036117842
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number25MA08830400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: