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General NPI Number Information
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NPI Number | 1225116346
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Entity Type | Organization
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Legal Business Name | SAKHAWAT HUSSAIN MDSC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16250 LOUIS AVE
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2260
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Country | US
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Telephone | 708-333-0001
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Fax | 708-333-0042
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Provider Business Mailing Address
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Address Line | 16250 LOUIS AVE
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2260
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Country | US
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Telephone | 708-333-0001
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Fax | 708-333-0042
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAKHAWAT HUSSAIN
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Credential | MD
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Telephone | 708-333-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IL
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