Provider Demographics
NPI:1588408165
Name:ASCENDED HEALTHCARE GROUP PLLC
Entity type:Organization
Organization Name:ASCENDED HEALTHCARE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ISLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-717-6056
Mailing Address - Street 1:15 PARKWAY NORTH BLVD APT 242
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2573
Mailing Address - Country:US
Mailing Address - Phone:708-717-6056
Mailing Address - Fax:708-894-4335
Practice Address - Street 1:15 PARKWAY NORTH BLVD APT 242
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-2573
Practice Address - Country:US
Practice Address - Phone:708-717-6056
Practice Address - Fax:708-894-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty