Sama Imad Hasan, PA
Physician Assistant in Burbank, IL. Individual provider (NPI-1).
NPI number1023933231
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1023933231
- Entity type
- Individual (NPI-1)
- Name
- Sama Imad Hasan
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2026
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.012475 | IL | Yes |
Practice location
7786 S Cicero AveBurbank, IL 60459-1583
Phone 708-425-3085 · Fax 708-425-3085
Mailing address
7786 S Cicero AveBurbank, IL 60459-1583
Phone 708-425-3085 · Fax 708-425-3089
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Burbank, IL
- Diane Marie Brooks, PA-CNPI 1750536082
- Melissa Juarez, PA-CNPI 1093180341
- Seyed Mahmoud Nabavi, PANPI 1588817605
- Kaley Ann Stewart, MMS, PA-CNPI 1245191253
- Natalie Rose Swierczynski, PANPI 1477418010
All 6 Physician Assistant providers in Burbank · All 336 providers in Burbank
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