Individual provider · NPI-1

Dr. Asima K Hussaini, MD

Internal Medicine · Bourbonnais, IL

NPI number1437110970
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1437110970
Entity type
Individual (NPI-1)
Name
Dr. Asima K Hussaini
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2006
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036108934ILYes

Practice location

400 Riverside Dr Ste 2800
Bourbonnais, IL 60914-5004

Phone 815-935-1100 · Fax 815-937-5966

Mailing address

400 Riverside Dr Ste 2800
Bourbonnais, IL 60914-5004

Phone 815-935-1100 · Fax 815-937-5966

Other practice locations

401 N Wall St Ste 206
Kankakee, IL 60901-2949

Phone 815-935-7260 · Fax 815-936-7378

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