Provider Demographics
NPI:1396753505
Name:HUSSEIN, LILY PARHAD (MD)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:PARHAD
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 68TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5308
Mailing Address - Country:US
Mailing Address - Phone:312-864-7265
Mailing Address - Fax:312-864-9002
Practice Address - Street 1:1900 W POLK ST # 766
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-7265
Practice Address - Fax:312-864-9002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36044602207RH0003X
IL036-044602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology