Healthcare Provider Details

I. General information

NPI: 1568417301
Provider Name (Legal Business Name): JOHARA HASSAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N WHISPERING HILLS DR
NAPERVILLE IL
60540-4032
US

IV. Provider business mailing address

223 N WHISPERING HILLS DR
NAPERVILLE IL
60540-4032
US

V. Phone/Fax

Practice location:
  • Phone: 929-491-1555
  • Fax:
Mailing address:
  • Phone: 929-491-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036109970
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: