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NPI Code Detail

MEDICARE: SYED OMMAR HASSAN MD

MEDICARE: SYED OMMAR HASSAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician036133790IL
2207Q00000XFamily Medicine Physician036133790IL
3207Q00000XFamily Medicine Physician57012414OH
4261QU0200XUrgent Care Clinic/Center036133790IL

General Provider Information

NPI Number : 1063637544
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYED OMMAR HASSAN MD
Provider Business Mailing Address
First Line : 29624 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1296
Country : US
Telephone Number : 815-344-4499
Fax Number : 815-344-4779
Provider Business Practice Location Address
First Line : 3922 MERCY DR
Second Line :
City : MCHENRY
State : IL
Zip : 60050-3179
Country : US
Telephone Number : 815-344-4499
Fax Number : 815-344-4779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 05/12/2026

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Directions to “ SYED OMMAR HASSAN MD” Practice Location

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