Provider Demographics
NPI:1407562804
Name:HUSSAIN, ASMA (PA-C)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9977 WOODS DR. SUITE 100
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1057
Mailing Address - Country:US
Mailing Address - Phone:243-642-2732
Mailing Address - Fax:
Practice Address - Street 1:9977 WOODS DR. SUITE 100
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1057
Practice Address - Country:US
Practice Address - Phone:243-642-2732
Practice Address - Fax:847-663-8290
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2024-08-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant