Healthcare Provider Details

I. General information

NPI: 1407350069
Provider Name (Legal Business Name): NERIHAN HADJI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N MCLEAN BLVD
ELGIN IL
60123-3275
US

IV. Provider business mailing address

500 N MCLEAN BLVD
ELGIN IL
60123-3275
US

V. Phone/Fax

Practice location:
  • Phone: 224-933-5500
  • Fax:
Mailing address:
  • Phone: 224-933-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101026318
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036160217
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number321045
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number5101026318
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: