Provider Demographics
NPI:1215670229
Name:NASREEN HAMIDANI INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:NASREEN HAMIDANI INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-935-3770
Mailing Address - Street 1:431 S EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-2515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2910 HARLEM AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1785
Practice Address - Country:US
Practice Address - Phone:630-935-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty