Provider Demographics
NPI:1679729792
Name:HASAN, UZMA NAVEEN (MD)
Entity type:Individual
Prefix:DR
First Name:UZMA
Middle Name:NAVEEN
Last Name:HASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UZMA
Other - Middle Name:NAVEEN
Other - Last Name:SIDDIQUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2300 CHILDRENS PLAZA BOX # 20
Mailing Address - Street 2:DIVISION OF INFECTIOUS DISEASES
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:773-880-4949
Mailing Address - Fax:773-880-8626
Practice Address - Street 1:2300 CHILDRENS PLAZA BOX # 20
Practice Address - Street 2:DIVISION OF INFECTIOUS DISEASES
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-880-4949
Practice Address - Fax:773-880-8626
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08830400208000000X, 2080P0208X
IL0361178422080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036117842OtherSTATE MEDICAL BOARD OF ILL