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NPI 1538870431

NPI 1538870431 : ILHAM HUSSAINI PA-C : ARLINGTON HEIGHTS, IL

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General NPI Number Information
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    NPI Number           |    1538870431
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    Entity Type          |    Individual 
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    Provider Name        |    ILHAM HUSSAINI PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2022
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    880 W CENTRAL RD STE 7200 
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    City                 |    ARLINGTON HEIGHTS
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    State                |    IL
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    Zip                  |    60005-2382
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    Country              |    US
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    Telephone            |    847-618-4430
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    Fax                  |    847-618-0786
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Provider Business Mailing Address
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    Address Line         |    231 CIMARRON RD E 
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    City                 |    LOMBARD
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    State                |    IL
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    Zip                  |    60148-1485
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    Country              |    US
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    Telephone            |    630-415-4437
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    085.009396
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    10004252A
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    License Number State |    IN
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