Individual provider · NPI-1
Maysa H Abdul Hussain, MD
Hospitalist · Chicago, IL
NPI number1245417070
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1245417070
- Entity type
- Individual (NPI-1)
- Name
- Maysa H Abdul Hussain
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2008
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 51399 | WI | Yes |
| 207R00000X | Internal Medicine | 513-990-20 | WI | |
| 207R00000X | Internal Medicine | 01069723A | IN | |
| 207R00000X | Internal Medicine | 336097633 | IL | |
| 207R00000X | Internal Medicine | MD2019-1032 | NM |
Practice location
600 N Fairbanks Ct Unit 3202Chicago, IL 60611-5866
Phone 414-334-1972 · Fax 414-334-1972
Mailing address
36123 Schoolcraft RdLivonia, MI 48150-1216
Phone 734-793-6140 · Fax 865-560-8948
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