Healthcare Provider Details

I. General information

NPI: 1225163207
Provider Name (Legal Business Name): MAY HASSIB M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9977 WOODS DR STE 100
SKOKIE IL
60077-1057
US

IV. Provider business mailing address

9977 WOODS DR STE 100
SKOKIE IL
60077-1057
US

V. Phone/Fax

Practice location:
  • Phone: 224-251-2273
  • Fax:
Mailing address:
  • Phone: 224-251-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036117532
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036117532
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: