Healthcare Provider Details

I. General information

NPI: 1497659106
Provider Name (Legal Business Name): HASAN RAJA AKBAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MCDOWELL RD.
NAPERVILLE IL
60563
US

IV. Provider business mailing address

3732 PIN OAK CT
LISLE IL
60532-0806
US

V. Phone/Fax

Practice location:
  • Phone: 331-229-8839
  • Fax:
Mailing address:
  • Phone: 630-401-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: