Provider Demographics
NPI:1699489914
Name:KASEM, HASSEN
Entity type:Individual
Prefix:
First Name:HASSEN
Middle Name:
Last Name:KASEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9336 S OKETO AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-2158
Mailing Address - Country:US
Mailing Address - Phone:312-343-6940
Mailing Address - Fax:
Practice Address - Street 1:9336 S OKETO AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-2158
Practice Address - Country:US
Practice Address - Phone:312-343-6940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist